Whalio Doctors

NPI 1497970560

Kevan G Lewis, MD

Practitioner MOHS-Micrographic Surgery Physician Green Bay, WI

Practice location

Address
3059 Voyager Dr, Green Bay, WI 54311-8303
Phone
(920) 965-0345
Fax
(920) 257-4559
Mailing address
2221 S Webster Ave STE 241, Green Bay, WI 54301-2158

Registered specialties (4)

MOHS-Micrographic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 53110-020 (WI)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 53110-20 (WI)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 51745 (MN)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence LP00514 (RI)

Registry record

NPI
1497970560
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Apr 2007
Record last updated
7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.