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NPI Code Detail

MEDICARE: DR. KEVIN A LIN M.D.

MEDICARE: DR. KEVIN A LIN 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
1207R00000XInternal Medicine PhysicianA66355CA
2208M00000XHospitalist Physician036149292IL
3208M00000XHospitalist PhysicianA66355CA

General Provider Information

NPI Number : 1124135843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN A LIN M.D.
Provider Business Mailing Address
First Line : 800 E CARPENTER ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62769-1000
Country : US
Telephone Number : 217-544-6464
Fax Number : 217-492-9643
Provider Business Practice Location Address
First Line : 800 E CARPENTER ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62769-1000
Country : US
Telephone Number : 217-544-6464
Fax Number : 217-492-9643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 01/06/2022

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Directions to “ DR. KEVIN A LIN M.D.” Practice Location

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