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Contact Information

KEVIN G DREW, MD
3740 EDISON LAKES PKWY
MISHAWAKA, IN46545-3448
 Phone: 574-252-4150
 Fax: 574-252-4159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KEVIN G DREW · (Male)

NPI Number 1275538373
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2005
Last updated 11/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01042863
  • IN Medicaid 200137230A
  • MI Medicaid 103400810
  • MI Medicaid 103506865
  • MI Medicaid 104240346
  • MI Medicaid 35205027103
  • IN Other 000000093083 ANTHEM BLUE CROSS BLUE SH
  • IN Other 250009418 RR MEDICARE
  • IN Other 3520574 TRICARE HEALTHNET
  • IN Other 129646400 US DEPT OF LABOR
  • MI Other 250A110370 BLUE CROSS/SHIELD MICHIGA
Hospital affiliation(s)
  • BORGESS-LEE MEMORIAL HOSPITAL - (Critical Access)
    420 W HIGH STREET
    DOWAGIAC, MI 49047
  • BORGESS-LEE MEMORIAL HOSPITAL - (Critical Access)
    420 W HIGH STREET
    DOWAGIAC, MI 49047
  • COMMUNITY HOSPITAL - (Acute Care)
    400 MEDICAL PARK DR
    WATERVLIET, MI 49098
  • COMMUNITY HOSPITAL - (Acute Care)
    400 MEDICAL PARK DR
    WATERVLIET, MI 49098
  • ELKHART GENERAL HOSPITAL - (Acute Care)
    600 E BLVD
    ELKHART, IN 46514
  • ELKHART GENERAL HOSPITAL - (Acute Care)
    600 E BLVD
    ELKHART, IN 46514
  • LAKELAND HOSPITAL ST JOSEPH - (Acute Care)
    1234 NAPIER AVENUE
    ST JOSEPH, MI 49085
  • LAKELAND HOSPITAL ST JOSEPH - (Acute Care)
    1234 NAPIER AVENUE
    ST JOSEPH, MI 49085
  • SAINT JOSEPH REGIONAL MEDICAL CENTER - (Acute Care)
    5215 HOLY CROSS PKWY
    MISHAWAKA, IN 46545
  • SAINT JOSEPH REGIONAL MEDICAL CENTER - (Acute Care)
    5215 HOLY CROSS PKWY
    MISHAWAKA, IN 46545
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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