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Individual

KEVIN E PREWETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-2646
(251) 435-6478
Mailing address
PO BOX 10583, BIRMINGHAM, AL 35202-0583
(251) 435-2646
(251) 435-6478

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.24589
AL
207Q00000X
Family Medicine Physician
MD.24589
AL
207R00000X
Internal Medicine Physician
MD.24589
AL
208M00000X
Hospitalist Physician
MD.24589
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936036
AL
05
009936037
AL
05
009936038
AL
05
009938388
AL
05
009984160
AL
05
009991605
AL
01
1710916408
TRICARE SOUTH
AL
01
510-01020
BCBS
AL
01
510-03483
BCBS
AL
01
510-03492
BCBS
AL
01
510-48740
BCBS
AL
01
515-07857
BCBS
AL
01
515-97202
BCBS
AL
Enumeration date
07/03/2006
Last updated
01/10/2013
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