Provider Demographics
NPI:1982934311
Name:SILVER, KEVIN M (DO)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:M
Last Name:SILVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4381 SOUTH EASON BLVD.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801
Mailing Address - Country:US
Mailing Address - Phone:662-377-6609
Mailing Address - Fax:662-377-6614
Practice Address - Street 1:4381 SOUTH EASON BLVD.
Practice Address - Street 2:SUITE 202
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801
Practice Address - Country:US
Practice Address - Phone:662-377-6609
Practice Address - Fax:662-377-6614
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS24171208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation