Individual
KEVIN LEE MAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5757 W THUNDERBIRD RD STE E456, GLENDALE, AZ 85306-4650
(602) 633-2247
(602) 633-2347
Mailing address
75 ARCH ST. SUITE 407, AKRON, OH 44304
(855) 298-6628
(903) 416-1701
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0426298
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.130826
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
J2192
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD453177
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314130C
—
KS
05
—
102977277 0001
—
PA
01
—
24951023
BCBS OF KANSAS CITY
KS
05
—
3581928-01
—
TX
01
—
8FZ417
BCBS OF TX
TX
Enumeration date
10/19/2006
Last updated
06/02/2025
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