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Kevin M Small, MD
Vascular & Interventional Radiology Physician in South Bend, Indiana
NPI 1689669715

Kevin M Small is a Vascular & Interventional Radiology Physician based in South Bend, IN and is specialized in Vascular & Interventional Radiology. Kevin M Small practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Kevin M Small is 1689669715 and holds a License No. 01044597A (Indiana).

The current practice location address for Kevin M Small is 621 Memorial Dr Ste 312, South Bend, IN and can be reached out via phone at 574-647-5200 and via fax at 574-647-5210. You can also correspond with Kevin M Small through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 621 Memorial Dr Ste 312, South Bend, IN, 46617-1924
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Provider Profile Details
NPI Number
1689669715
Provider Name
Kevin M Small
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr Ste 312, South Bend, IN, 46617-1924
Phone Number
574-647-5200
Fax Number
574-647-5210
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200181930 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 312
City
State
Zip
46601-1073
Phone Number
574-647-5200
Fax Number
574-647-5210
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 312
City
State
Zip
46601-1073
Phone Number
574-647-5200
Fax Number
574-647-5210
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
01044597A (Indiana)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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