Kevin M Small, MD
NPI #1689669715 in South Bend, Indiana
Provider Information
- NPI Number
- 1689669715
- Entity Type
- Individual
- Name
- Kevin M Small, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Credential
- MD
- Enumeration Date
- Sep 14, 2005
- Last Updated
- Apr 5, 2021
Practice Location
- Address
- 621 MEMORIAL DR STE 312
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46601-1073
- Phone
- (574) 647-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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