Individual
KEVIN CHRISTOPHER PREUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2325 18TH ST, SUITE 130, COLUMBUS, IN 47201-5387
(812) 379-2020
(812) 378-8267
Mailing address
2325 18TH ST, SUITE 130, COLUMBUS, IN 47201-5387
(812) 379-2020
(812) 378-8267
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01037349A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088176
ANTHEM BCBS
IN
01
—
010712P
SIHO
IN
01
—
64875107
KENTUCKY MEDICAID
KY
Enumeration date
11/07/2006
Last updated
04/03/2008
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