Individual
DR. KEVAN ELLARY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BAPTIST HEALTH, 2501 KENTUCKY AVE, PADUCAH, KY 42003
(757) 635-7507
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2534
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101237484
VA
Other
Enumeration date
02/17/2006
Last updated
03/04/2024
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