Individual
MR. KEVIN PETER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(951) 294-1116
Mailing address
1501 CONWAY DR, ESCONDIDO, CA 92027-1056
(951) 294-1116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
232653
AZ
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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