Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVAN G LEWIS, MD
ActiveKEVAN G LEWIS, MD is a Obesity Medicine healthcare provider located in GREEN BAY, Wisconsin. NPI 1497970560 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · GREEN BAY, WI
Registration Details
- NPI Number
- 1497970560
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.345591768714 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
53110-20 (WI)51745 (MN)LP00514 (RI)53110-020 (WI)
Practice Information
- Address
-
3059 VOYAGER DRGREEN BAY, WI, 543118303Browse WI providers · Browse ZIP 54311
- Phone
- 9209650345
- Fax
- 9202574559
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Dermatology
- Additional Specialty
- Dermatology
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.