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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN M SMALL, MD

Active

KEVIN M SMALL, MD is a Therapeutic Radiology healthcare provider located in SOUTH BEND, Indiana. NPI 1689669715 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · SOUTH BEND, IN

Registration Details

NPI Number
1689669715
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2005 (20.9204726243 yrs)
Last Updated
Apr 5, 2021
License
01044597A (IN)

Practice Information

Address
621 MEMORIAL DR STE 312
SOUTH BEND, IN, 466011073
Browse IN providers · Browse ZIP 46601
Phone
5746475200
Fax
5746475210
Primary Specialty
Therapeutic Radiology
2085R0204X

Other Therapeutic Radiology Providers in SOUTH BEND, IN

Name Credential NPI
THOMAS J FISCHBACH MD 1780679233
GERARD I DUPRAT MD 1780679225
HOWARD ELVINDO WIARDA MD 1801881255
DR. MICHAEL JOHN HALL M.D. 1093893026
BRIAN SCHIRF M.D. 1184840290
KELLY ELIZABETH MORTELL M.D. 1841434354
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.