MEDICARE: KEVIN DOUGLAS CAIRNS MD

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
1	208VP0000X	Pain Medicine Physician	ME94054	FL

General Provider Information

NPI Number	:	1316902372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN DOUGLAS CAIRNS MD

Provider Business Mailing Address
First Line	:	6000 N FEDERAL HWY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-2226
Country	:	US
Telephone Number	:	954-771-2551
Fax Number	:	954-492-5266

Provider Business Practice Location Address
First Line	:	6000 N FEDERAL HWY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-2226
Country	:	US
Telephone Number	:	954-771-2551
Fax Number	:	954-492-5266

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	03/06/2014

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