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Individual

KEVIN J KERWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7606
(216) 476-6967
Mailing address
18200 LORAIN AVE, CLEVELAND, OH 44111-5605
(216) 476-7606
(216) 476-6967

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35083010
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000369933
ANTHEM BC/BS
OH
05
2411607
OH
01
349937
WELLCARE
OH
01
P00337656
RAILROAD CARE
OH
Enumeration date
05/17/2006
Last updated
06/06/2008
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