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Individual

KEVAN SCOTT ZECHIN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
(641) 226-5759
Mailing address
PO BOX 458, OTTUMWA, IA 52501-0458
(641) 683-5773
(641) 226-5759

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
32842
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0221176
IA
01
33686
BLUE CROSS BLUE SHIELD
05
421527584003
IL
01
42152758410
JOHN DEERE
Enumeration date
05/27/2005
Last updated
11/13/2007
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