Individual
KEVAN SCOTT ZECHIN SR.
Active
Individual
KEVAN SCOTT ZECHIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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