Individual
KEVIN BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 55TH ST, DEPARTMENT OF SURGERY - LUTHERAN MEDICAL CENTER, BROOKLYN, NY 11220-2508
(718) 630-7351
(718) 630-8471
Mailing address
150 55TH ST, DEPARTMENT OF SURGERY - LUTHERAN MEDICAL CENTER, BROOKLYN, NY 11220-2508
(718) 630-7351
(718) 630-8471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB11216200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2015
Last updated
04/17/2023
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