Individual
DR. KEVIN KEITH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 S PROGRESS DR, XENIA, OH 45385-2673
(937) 376-9731
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.134175
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421915
—
OH
Enumeration date
06/09/2011
Last updated
03/08/2022
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