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NPI Code Detail

MEDICARE: KEVIN CHRISTOPHER PREUSS M.D.

MEDICARE:   KEVIN CHRISTOPHER PREUSS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician01037349AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000088176OTHERINANTHEM BCBS
2010712POTHERINSIHO
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255400750
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN CHRISTOPHER PREUSS M.D.
Provider Business Mailing Address
First Line : 2325 18TH ST
Second Line : SUITE 130
City : COLUMBUS
State : IN
Zip : 47201-5387
Country : US
Telephone Number : 812-379-2020
Fax Number : 812-378-8267
Provider Business Practice Location Address
First Line : 2325 18TH ST
Second Line : SUITE 130
City : COLUMBUS
State : IN
Zip : 47201-5387
Country : US
Telephone Number : 812-379-2020
Fax Number : 812-378-8267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 04/03/2008

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Directions to “ KEVIN CHRISTOPHER PREUSS M.D.” Practice Location

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