Individual
KEVIN L LITWIN
Active
Individual
KEVIN L LITWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2001023607
MO
2085R0204X
Vascular & Interventional Radiology Physician
2001023607
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G796300
BLUE SHIELD
—
05
—
100425160C
—
KS
01
—
1528169752
SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A
MO
05
—
205771819
—
MO
01
—
P00343086
RAILROAD MEDICARE
MO
Enumeration date
12/16/2005
Last updated
12/14/2010
Update your record
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