Individual
KEVIN MICHAEL HOUSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1824 DORCHESTER CT STE A, GOSHEN, IN 46526
(574) 534-2548
Mailing address
1824 DORCHESTER CT STE A, GOSHEN, IN 46526-6819
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001314A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026160
—
IN
Enumeration date
05/16/2011
Last updated
04/21/2023
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