Organization
J KEVIN BELVILLE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. KEVIN BELVILLE M.D (OPTHALMOLOGIST/PRESIDENT)
(402) 462-9191
Entity
Organization
Contact information
Practice address
1414 W 12TH ST, HASTINGS, NE 68901-3742
(402) 462-9191
(402) 462-9192
Mailing address
1414 W 12TH ST, HASTINGS, NE 68901-3742
(402) 462-9191
(402) 462-9192
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
138365
NE
207W00000X
Ophthalmology Physician
Primary
14789
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025428000
—
NE
05
—
200410430A
—
KS
Enumeration date
08/23/2007
Last updated
10/31/2008
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