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Kevin David Mcintosh

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

250 Chateau Dr SW Ste 100, Huntsville, AL 35801

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN MCINTOSH.

Based on the most recent information from CMS, provider Kevin David Mcintosh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1235367038
Provider Type
Individual
Full Name
Mcintosh, Kevin David
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/30/2009
Last Updated
5/16/2018

Contact Information

Practice Location

250 Chateau Dr SW Ste 100, Huntsville, AL 35801

(256) 881-9997

(256) 880-3838

Mailing Location

250 Chateau Dr SW Ste 100, Huntsville, AL 35801-3497

(256) 881-9997

(256) 880-3838

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License MD.35071 Alabama
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License ME116795 Florida

Kevin David Mcintosh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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