Individual
DR. KEVIN L. PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 TOWER ROAD, SUITE 100, DAKOTA DUNES, SD 57049
(605) 217-4310
(605) 217-2915
Mailing address
101 TOWER ROAD, SUITE 100, DAKOTA DUNES, SD 57049
(605) 217-4310
(605) 217-2915
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
02660
IA
207RG0100X
Gastroenterology Physician
Primary
3502
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004023
BLUE CROSS BLUE SHIELD
SD
05
—
1074542
—
IA
01
—
12129
BLUE CROSS BLUE SHIELD
IA
05
—
42140591500
—
NE
05
—
7797132
—
SD
Enumeration date
02/04/2006
Last updated
10/25/2011
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