Individual
DR. KEVIN BRYAN CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00022961
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
16905
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123076
—
MS
05
—
009935563
—
AL
01
—
1353817
CIGNA
MS
01
—
5750556
AETNA
MS
Enumeration date
06/22/2006
Last updated
07/02/2010
Update your record
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