Kevin A Lewellen
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION


Address: Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Phone: 9287298256

Kevin A Lewellen (NPI# 1124047949, PAC ID# 8426236969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1124047949
PAC ID by PECOS 8426236969
Professional Enrollment ID I20150513002009
Full Name Kevin A Lewellen
Organization Legal Name THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
Address Corner of Route N12 and N 7
Fort Defiance
AZ 86504-0589
Phone Number 9287298256
Gender M
Graduation Year 1995
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 0941336697
Number of Group Practice Members 135
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030071 FORT DEFIANCE INDIAN HOSPITAL

Other Locations

Address Phone Organization
Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 9287298256 THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION

Organization Information

Organization Legal Name THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
Physicians 113

Physicians with the same organization

Name Specialty Organization Address
Roderick R Byron General Surgery The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Romulo L Parungao Emergency Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Irina Andrushenko Optometry The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Marina Victorovna Nedospasova Nurse Practitioner The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Walter M Adam Family Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
William D Beutel General Surgery The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
James Edward Coyle Internal Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Michael L Tutt Internal Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Marco A Trigueros Internal Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Dana C Brewer Certified Nurse Midwife (cnm) The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589

Office Location

Street Address CORNER OF ROUTE N12 AND N 7
City FORT DEFIANCE
State AZ
Zip 86504-0589

Physicians in the same location

Name Specialty Organization Address
Roderick R Byron General Surgery The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Romulo L Parungao Emergency Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Irina Andrushenko Optometry The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Marina Victorovna Nedospasova Nurse Practitioner The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Walter M Adam Family Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
William D Beutel General Surgery The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
James Edward Coyle Internal Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Michael L Tutt Internal Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Marco A Trigueros Internal Medicine The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Dana C Brewer Certified Nurse Midwife (cnm) The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Michael Ihsaan Obstetrics/gynecology The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Michelle Kahn-john Nurse Practitioner The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Samuel Bryan Wood Nurse Practitioner The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Nazhone P Yazzie General Surgery The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Melissa M Lester Optometry The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Mohammad Akhavanheidari General Surgery The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Dennis L Frew Otolaryngology The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Claude C Perkins Obstetrics/gynecology The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
June E Rhoda Nurse Practitioner The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Tatyana Lytkina Physician Assistant The Fort Defiance Indian Hospital Board, Incorporation Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589
Find all physicians in zip 86504

Competitor

Search similar physicians

City FORT DEFIANCE
Zip Code 86504
Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
City + Specialty FORT DEFIANCE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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