Provider Demographics
NPI:1659735462
Name:BREE, KEVIN
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:BREE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8759 CREEKSCAPE LN APT 921
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2065
Mailing Address - Country:US
Mailing Address - Phone:812-584-0757
Mailing Address - Fax:
Practice Address - Street 1:3406 BOB ROGERS DR STE 120
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5942
Practice Address - Country:US
Practice Address - Phone:830-757-4900
Practice Address - Fax:830-757-8708
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU5646208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery