Mcaward, Kevin Jeremy

Mcaward, Kevin Jeremy is an individual health care provider with primary practice located at 111 W Jefferson Blvd Ste. 100, South Bend IN 46601-1994. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mcaward, Kevin Jeremy can be contacted via phone (574) 647-1669.

Contact Information

Primary practice address
111 W Jefferson Blvd Ste. 100 South Bend IN 46601-1994
Phone: (574) 647-1669
Fax: (574) 239-6461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01058339A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01058339A Indiana

Profile Details

NPI number 1356332977
LBN Legal business name Mcaward, Kevin Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 25th, 2008 - about 18 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 1356332977 NPPES
Indiana MEDICAID 200464680

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