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KEVIN LANE DO PA NPI 1003001579


NPI Information

NPI: 1003001579
Provider Name: KEVIN LANE DO PA

Doing Business As: KEVIN LANE DO

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
404 MERCER ST
QUANAH, TX
ZIP 79252
Phone: (940) 663-5111
Get Directions

KEVIN LANE DO PA is a family medicine in Quanah, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KEVIN LANE DO PA NPI is 1003001579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kevin Lane Do.

The provider's business location address is:

404 MERCER ST
QUANAH, TX
ZIP 79252-026
Phone: (940) 663-5111
Fax: (940) 663-5899

The provider's authorized official is Kimberly R Flannery .
The authorized official title is Practice Administrator and has the following contact phone number (940) 663-5111.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineL8579TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E87143MEDICARE UPINTEXAS
200105YMEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.