Individual
KEVIN CHRISTOPHER PREUSS
Active
Individual
KEVIN CHRISTOPHER PREUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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