Individual
DR. SAMUEL J KEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 MEEKER ST, DELTA, CO 81416-1920
(970) 874-5777
Mailing address
555 MEEKER ST, DELTA, CO 81416-1920
(970) 874-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23990
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239904
—
CO
Enumeration date
04/25/2006
Last updated
07/21/2022
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