Provider Demographics
NPI:1902883952
Name:SCHEWE, KEVIN L (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:L
Last Name:SCHEWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 173861
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-3861
Mailing Address - Country:US
Mailing Address - Phone:303-657-3780
Mailing Address - Fax:303-657-3781
Practice Address - Street 1:9441 HURON ST
Practice Address - Street 2:THORNTON CANCER CENTER
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-5426
Practice Address - Country:US
Practice Address - Phone:303-332-6346
Practice Address - Fax:303-425-2810
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO392762085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO60550830Medicaid
CO60550830Medicaid
COC532918Medicare PIN