MEDICARE: KEVIN L BELL 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	207Q00000X	Family Medicine Physician	036099405	IL

General Provider Information

NPI Number	:	1659366615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN L BELL MD

Provider Business Mailing Address
First Line	:	2407 CORPORATE CTR STE C
Second Line	:
City	:	GRANITE CITY
State	:	IL
Zip	:	62040-4268
Country	:	US
Telephone Number	:	618-779-6782
Fax Number	:

Provider Business Practice Location Address
First Line	:	2407 CORPORATE CTR STE C
Second Line	:
City	:	GRANITE CITY
State	:	IL
Zip	:	62040-4268
Country	:	US
Telephone Number	:	618-779-6782
Fax Number	:

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	10/19/2023

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