Kevin James Clevenger, is a
Community Health Worker based in Ketchikan, Alaska. Kevin James Clevenger is licensed to practice in * (Not Available) (license number ) and his current practice location is
313 Carlanna Lake Rd, Ketchikan, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 220-4846.
NPI number for Kevin James Clevenger is 1689475261 and his current mailing address is 721 Stedman St, Ketchikan, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689475261.
Healthcare Provider's Profile
Full Name | Kevin James Clevenger |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 313 Carlanna Lake Rd, Ketchikan, Alaska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689475261
- Provider Enumeration Date: 03/20/2025
- Last Update Date: 03/20/2025
Medical Identifiers
Medical identifiers for Kevin James Clevenger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689475261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin James Clevenger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin James Clevenger, 721 Stedman St, Ketchikan, AK 99901-6632 Ph: (907) 225-7825 | Kevin James Clevenger, 313 Carlanna Lake Rd, Ketchikan, AK 99901-5614 Ph: (907) 220-4846 |
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