Kevin Lane's National Provider Identifier (NPI) Details
Kevin Lane, MS, LPC
NPI: 1215281894
Enumeration Date: 2012-11-03
Last updated: 2021-10-08
Sole Proprietor: NO
Status: active
Postal Address: 3100 S NATIONAL AVE STE 103, SPRINGFIELD, MO
Phone: 417-322-6622
Primary Practice Address: 3600 S NATIONAL AVE, SPRINGFIELD, MO
Practice's phone: 417-322-6622