Individual
DR. KEVIN W MARCUM
Active
Individual
DR. KEVIN W MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
17134
ND
2085R0202X
Diagnostic Radiology Physician
2020039265
MO
2085R0202X
Diagnostic Radiology Physician
MC-179
GU
2085R0202X
Diagnostic Radiology Physician
Primary
ME110234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003839900
—
FL
01
—
14F8G
FL BCBS
FL
01
—
FF900Z
FL MEDICARE
FL
01
—
P01049403
FL RAILROAD MEDICARE PTAN
FL
Enumeration date
10/16/2007
Last updated
09/23/2025
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