Individual
KEVIN D NEESE
Active
Individual
KEVIN D NEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038911A
IN
208M00000X
Hospitalist Physician
01038911A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295078
ANTHEM PROVIDER NUMBER
—
05
—
1000335870
—
IN
01
—
P01824518
RR PTAN
IN
Enumeration date
06/17/2006
Last updated
09/24/2019
Update your record
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