Individual
KEVIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
601 5TH ST S STE 502, ST PETERSBURG, FL 33701-4804
(727) 767-3636
(727) 767-3638
Mailing address
601 5TH ST S STE 502, ST PETERSBURG, FL 33701-4804
(727) 767-3636
(727) 767-3638
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
48666
WV
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9460277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021154800
—
FL
05
—
7103083000
—
WV
Enumeration date
09/25/2006
Last updated
07/21/2022
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