Individual
KEVIN J FLYNN
Active
Individual
KEVIN J FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F1011
TX
207ND0900X
Dermatopathology Physician
F1011
TX
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
F1011
TX
207NP0225X
Pediatric Dermatology Physician
F1011
TX
207NS0135X
Procedural Dermatology Physician
F1011
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
F1011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B2644
BCBSTX
TX
01
—
8M7134
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
02/28/2006
Last updated
02/06/2019
Update your record
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