Individual
DR. KEVIN ANDREW MODESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PEACEHEALTH SURGICAL SPECIALITIES, 3355 RIVERBEND DR., SUITE 300, SPRINGFIELD, OR 97477
(541) 222-8333
(541) 222-8320
Mailing address
PEACEHEALTH SURGICAL SPECIALITIES, 3355 RIVERBEND DR., SUITE 300, SPRINGFIELD, OR 97477
(541) 222-8333
(541) 222-8320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD157808
OR
2086S0102X
Surgical Critical Care Physician
MD157808
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648430
—
OR
Enumeration date
01/12/2009
Last updated
03/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us