Dr. Kevin Edward Zawacki
Interventional Cardiology
1312 W. Arch Haven Avenue
Bloomington
, Indiana 47403
Dr. Kevin Edward Zawacki
Interventional Cardiology
1312 W. Arch Haven Avenue
Bloomington
, Indiana 47403
(812) 353-3087
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. Kevin Edward Zawacki
- Po Box 1329
- Bloomington, IN
- Zip : 47402
- Phone : (812) 353-3087
Second Address
- Dr. Kevin Edward Zawacki
- 1312 W. Arch Haven Avenue
- Bloomington, IN
- Zip : 47403
- Fax : (812) 339-8344
- Phone : (812) 676-4144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | 01074815A | IN |
National Provider Identifier
| NPI | 1023189677 |
|---|---|
| Provider Name | Dr. Kevin Edward Zawacki |
| First Address | Bloomington, IN 47402 |
| Second Address | Bloomington, IN 47403 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 28/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201267640 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.