Dr. Kevin Light , DO
Surgery • Dallas, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Light has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kevin Light, DO was a registered Surgery practicing in Dallas, TX. Throughout an active medical career spanning 10 years, Dr. Light provided care at the practice location at 4001 MCEWEN RD STE 102 until profile deactivation on 2018-03-09.
Practice Location & Contact Primary Location
4001 Mcewen Rd Ste 102
Dallas, TX 752445044
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in Dallas, TX
Practicing in Dallas, TX (2342 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 09, 2018
NPI status registered as active in NPPES database
Registered at 4001 MCEWEN RD STE 102, DALLAS, TX 752445044 (Tel: 9722396317)
Registered at 4001 MCEWEN RD STE 102, DALLAS, TX 752445044 (Tel: 9722396317)
Recorded as KEVIN LIGHT, D.O.
Surgery (License #J9162 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4001 Mcewen Rd Ste 102
Dallas, TX 752445044
Phone: 9722396317
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