Individual
KEVIN G CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 EASTSIDE RD, STE 110, PLATTEVILLE, WI 53818-9800
(608) 348-4330
(608) 342-4810
Mailing address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-4330
(608) 342-4801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28636-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0592402
—
IA
01
—
1000595
PHYSICIANS PLUS
WI
05
—
31468800
—
WI
Enumeration date
04/18/2006
Last updated
11/13/2020
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