Provider Demographics
NPI:1093708273
Name:DELL, KEVIN D (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:D
Last Name:DELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-2423
Mailing Address - Country:US
Mailing Address - Phone:330-727-6199
Mailing Address - Fax:330-337-9298
Practice Address - Street 1:1995 E STATE ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-2423
Practice Address - Country:US
Practice Address - Phone:330-727-6199
Practice Address - Fax:330-337-9298
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.091115207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2815038Medicaid
OH2815038Medicaid
OHDE4235651Medicare PIN
TN3329489Medicare ID - Type Unspecified
I29032Medicare UPIN