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NPI Code Detail

MEDICARE: KEVIN BILANT DPM

MEDICARE: KEVIN BILANT DPM
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
1213E00000XPodiatrist36003298OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154300556
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN BILANT DPM
Provider Business Mailing Address
First Line : 8808 TYLER BLVD
Second Line :
City : MENTOR
State : OH
Zip : 44060-4361
Country : US
Telephone Number : 440-777-6017
Fax Number : 440-777-6940
Provider Business Practice Location Address
First Line : 8808 TYLER BLVD
Second Line :
City : MENTOR
State : OH
Zip : 44060-4361
Country : US
Telephone Number : 440-255-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 02/26/2008

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Directions to “ KEVIN BILANT DPM” Practice Location

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