Mace, Kevin Wayne

Mace, Kevin Wayne is an individual health care provider with primary practice located at 1208 N Lincoln St , Knoxville IA 50138-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mace, Kevin Wayne can be contacted via phone (641) 828-3832.

Contact Information

Primary practice address
1208 N Lincoln St Knoxville IA 50138-3421
Phone: (641) 828-3832
Fax: (641) 828-3820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3542 Iowa

Profile Details

NPI number 1043282759
LBN Legal business name Mace, Kevin Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043282759 NPPES
Iowa Other 1043282759 NPI NUMBER
Iowa MEDICAID 3440446 NPI NUMBER
Iowa MEDICAID 5440446 NPI NUMBER
Iowa Other P00210325 NPI NUMBER
Iowa MEDICAID 4440446 NPI NUMBER

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