Basic Information
| Provider Information | |||||||||
| NPI: | 1407116858 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NESH | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | JOSEPH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2338 IMMOKALEE RD | ||||||||
| Address2: | SUITE 186 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341101445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2393302933 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2338 IMMOKALEE RD | ||||||||
| Address2: | SUITE 186 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341101445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2393302933 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2012 | ||||||||
| LastUpdateDate: | 02/23/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME124726 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | ME124726 | FL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.