Organization provider
KEVIN LANE DO PA
CMS NPPES lists KEVIN LANE DO PA as an organization provider record with NPI 1003001579. The current record reports a primary practice location in VERNON, TX and primary taxonomy code 207Q00000X.
Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile
01
Other reported names
- Kevin Lane DODoing-business-as name
02
Practice locations
- Primary practice location4103 WILBARGER STVERNON, TX 763843137
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
03
Taxonomy information
207Q00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
04
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- September 7, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.