Dr. Kevin Gene Drew
Pain Medicine
3740 Edison Lakes Pkwy
Mishawaka
, Indiana 46545-3448
Dr. Kevin Gene Drew
Pain Medicine
3740 Edison Lakes Pkwy
Mishawaka
, Indiana 46545-3448
(574) 252-4159
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Kevin Gene Drew
- 3740 Edison Lakes Pkwy
- Mishawaka, IN
- Zip : 46545-3448
- Fax : (574) 252-4159
- Phone : (574) 252-4150
Second Address
- Dr. Kevin Gene Drew
- 3740 Edison Lakes Pkwy
- Mishawaka, IN
- Zip : 46545-3448
- Fax : (574) 252-4159
- Phone : (574) 252-4150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 01042863 | IN |
National Provider Identifier
| NPI | 1275538373 |
|---|---|
| Provider Name | Dr. Kevin Gene Drew |
| First Address | Mishawaka, IN 46545-3448 |
| Second Address | Mishawaka, IN 46545-3448 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2005 |
| Last Update Date | 03/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000093083 | ANTHEM BLUE CROSS BLUE SH (01) | IN |
| 103400810 | (05) | MI |
| 103506865 | (05) | MI |
| 104240346 | (05) | MI |
| 129646400 | US DEPT OF LABOR (01) | IN |
| 200137230A | (05) | IN |
| 250009418 | RR MEDICARE (01) | IN |
| 250A110370 | BLUE CROSS/SHIELD MICHIGA (01) | MI |
| 35205027103 | (05) | MI |
| 3520574 | TRICARE HEALTHNET (01) | IN |
| F87496 | (02) |
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.