Dr Kevan Ellary Mann, MD | |
Baptist Health, 2501 Kentucky Ave, Paducah, KY 42003 | |
(757) 635-7507 | |
Not Available |
Full Name | Dr Kevan Ellary Mann |
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Gender | Male |
Speciality | Surgery |
Location | Baptist Health, Paducah, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700850468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 0101237484 (Virginia) | Primary |
Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
Mailing Address | Practice Location Address |
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Dr Kevan Ellary Mann, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-2534 | Dr Kevan Ellary Mann, MD Baptist Health, 2501 Kentucky Ave, Paducah, KY 42003 Ph: (757) 635-7507 |
Clinton Joseph Kaufman, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 | |
Dr. Charles King Davis Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 755 Woodland Dr, Paducah, KY 42001 Phone: 270-442-1468 | |
Dr. Kristen Nicole Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-538-9555 | |
David John Mauterer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Drive, Suite 303, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Alice A Higdon, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Daniel A. Howard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd, Suite 235, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Dr. Jason David Banister, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr, Ste 205, Paducah, KY 42003 Phone: 270-441-4462 Fax: 270-441-4461 |