Individual
DR. JOHN W. KEVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 E PRINCETON STREET, SUITE 540, ORLANDO, FL 32803-1424
(407) 303-8127
(407) 303-8197
Mailing address
615 E PRINCETON STREET, SUITE 540, ORLANDO, FL 32803-1424
(407) 303-8127
(407) 303-8197
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2019017086
MO
2084N0400X
Neurology Physician
BC60686820
WA
2084N0400X
Neurology Physician
ME114072
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
ME114072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007208200
—
FL
05
—
1150096
—
LA
Enumeration date
06/20/2006
Last updated
09/12/2019
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