Individual
LEWIS J NEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
1948 E WHIPP RD, SUITE A1, KETTERING, OH 45440-4240
(937) 434-6217
(937) 434-6375
Mailing address
1948 E WHIPP RD, SUITE A1, KETTERING, OH 45440-4240
(937) 434-6217
(937) 434-6375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0800290
OH
Other
Enumeration date
11/05/2012
Last updated
07/29/2013
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