Individual
DR. MICHAEL RAYMOND KEVERLINE
Active
Individual
DR. MICHAEL RAYMOND KEVERLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101230614
VA
332H00000X
Eyewear Supplier
7010360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010080371
—
VA
01
—
102064
ANTHEM BCBS
VA
01
—
2174956
UNITED HEALTH CARE
VA
01
—
29717
OPTIMA
VA
01
—
399105
MAMSI
VA
01
—
4773409
CIGNA
VA
01
—
7827286
AETNA
VA
05
—
8906674
—
NC
Enumeration date
07/15/2005
Last updated
05/08/2008
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