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NPI Code Detail

MEDICARE: DR. KEVIN L SNEIDER D.P.M.

MEDICARE: DR. KEVIN L SNEIDER D.P.M.
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
1213E00000XPodiatrist36-002578OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2137445OTHEROHANTHEM BCBS OF OHIO

General Provider Information

NPI Number : 1437267820
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN L SNEIDER D.P.M.
Provider Business Mailing Address
First Line : 611 FULTON ST
Second Line : SUITE B
City : PORT CLINTON
State : OH
Zip : 43452
Country : US
Telephone Number : 419-734-3338
Fax Number : 419-734-2195
Provider Business Practice Location Address
First Line : 611 FULTON STREET
Second Line : SUITE B
City : PORT CLINTON
State : OH
Zip : 43452-2008
Country : US
Telephone Number : 419-734-3338
Fax Number : 419-734-2195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2006
Last Update Date : 05/07/2009

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