Individual
DR. ERIN MARIE KEVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
810 PARK PL, MISHAWAKA, IN 46545-3520
(574) 366-0240
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
02005351A
IN
207Y00000X
Otolaryngology Physician
Primary
5101020418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014225
—
IN
Enumeration date
06/20/2013
Last updated
02/10/2026
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