Kevin Lane Do Pa

NPI 1003001579 - Family Medicine - 207Q00000X

NPI Details
NPI 1003001579
Enumeration Date 09/07/2007
Last Updated 09/07/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIMBERLY R KIMBERLY
Position PRACTICE ADMINISTRATOR
Phone (940) 663-5111
Fax (940) 663-5899
Practice Location
404 MERCER ST
QUANAH TX, 79252-4026, US
Phone (940) 663-5111
Fax (940) 663-5899
Business Location
PO BOX 359
QUANAH TX, 79252-0359, US
Phone (940) 663-5111
Fax (940) 663-5899
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number L8579
Remove 1003001579 NPI Number
 

According to our database, Kevin Lane Do Pa NPI is 1003001579, taxonomy code is 207Q00000X and license number is L8579, license state is located at Texas. Kevin Lane Do Pa physically located at 404 Mercer St, Quanah TX, 79252-4026. NPI Number 1033115704 has the healthcare provider type.

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1003001579 NPI number is provided on an as is basis without warranty of any kind. 1003001579 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Lane Do Pa are for informational purposes only.