Individual
MR. KEVIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859
(808) 433-0600
Mailing address
2817 REILLY ST, SUIT 521, FORT BRAGG, NC 28310-7324
(479) 841-5277
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
877650
TX
Other
Enumeration date
01/06/2017
Last updated
07/10/2018
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