Basic Information
Provider Information
NPI: 1902827934
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKERS
FirstName: KEVIN
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3551 ROGER BROOKE DR
Address2:  
City: FORT SAM HOUSTON
State: TX
PostalCode: 782344504
CountryCode: US
TelephoneNumber: 2105399582
FaxNumber:  
Practice Location
Address1: 3698 CHAMBERS PASS
Address2:  
City: JBSA FT SAM HOUSTON
State: TX
PostalCode: 782347766
CountryCode: US
TelephoneNumber: 2105394676
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/23/2006
LastUpdateDate: 01/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X01059682AINY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


Home