| Dr Kevan Ellary Mann, MD | |
| Baptist Health, 2501 Kentucky Ave, Paducah, KY 42003 | |
| (757) 635-7507 | |
| Not Available | 
| Full Name | Dr Kevan Ellary Mann | 
|---|---|
| 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 | 
|---|---|---|---|
| 1700850468 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 0101237484 (Virginia) | Primary | 
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc | 
|---|---|
| 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 | 
|---|---|
| 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 | |
| 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 | |
| Phillip Blotevogel,  Surgery Medicare: Medicare Enrolled Practice Location: 2601 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-538-9555 Fax: 270-538-9554 |