Individual
KEVIN W. BEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2012 S TOLLGATE RD STE 207, BEL AIR, MD 21015-5902
(443) 371-9750
(443) 371-9751
Mailing address
2012 S TOLLGATE RD STE 207, BEL AIR, MD 21015-5902
(443) 371-9750
(443) 371-9751
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C0002316
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104752
MEDICARE
—
Enumeration date
07/20/2006
Last updated
11/09/2023
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