Provider Demographics
NPI:1174238661
Name:MAY, KEVIN JOSEPH (RT(R)(MRI))
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:JOSEPH
Last Name:MAY
Suffix:
Gender:M
Credentials:RT(R)(MRI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6032 SW 70TH CT
Mailing Address - Street 2:
Mailing Address - City:LAKE BUTLER
Mailing Address - State:FL
Mailing Address - Zip Code:32054-8936
Mailing Address - Country:US
Mailing Address - Phone:219-218-1829
Mailing Address - Fax:
Practice Address - Street 1:6032 SW 70TH CT
Practice Address - Street 2:
Practice Address - City:LAKE BUTLER
Practice Address - State:FL
Practice Address - Zip Code:32054-8936
Practice Address - Country:US
Practice Address - Phone:219-218-1829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4256792085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging