| Kevin J. Brewster, D.o. Llc | |
|
1 Kings Dr Taneytown MD 21787-2331 | |
| (717) 630-0920 | |
| (717) 630-0920 |
| Full Name | Kevin J. Brewster, D.o. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Kings Dr, Taneytown, Maryland |
| Authorized Official Name and Position | Kevin Brewster (OWNER) |
| Authorized Official Contact | 7176300920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J. Brewster, D.o. Llc 344 Azalea Dr Hanover PA 17331-3469 Ph: (717) 630-0920 | Kevin J. Brewster, D.o. Llc 1 Kings Dr Taneytown MD 21787-2331 Ph: (717) 630-0920 |
| NPI Number | 1659557676 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 01/22/2008 |
| Medicare PECOS PAC ID | 2860568425 |
|---|---|
| Medicare Enrollment ID | O20080904000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659557676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H0055845 (Maryland) | Primary |
| Provider Name | Kevin J Brewster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770535296 PECOS PAC ID: 7416912381 Enrollment ID: I20041120000013 |
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