Kevin Lane DO PA
Organization Active NPI Family Medicine Physician · Vernon, TX
NPI 1003001579 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1003001579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L8579 (TX)
- Legal business name
- KEVIN LANE DO PA
- Practice address
- 4103 Wilbarger St
Vernon, TX 76384-3137 - Phone
- (940) 553-2140
- Fax
- (940) 553-1739
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Kevin B Lane
- Title
- DO
- Phone
- (940) 553-2140
Practitioners 2
-
Kevin B Lane, DO
-
Amanda Darling, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050122000083 | TX | Part B Supplier - Clinic/Group Practice | 8325098817 |
Receives reassigned benefits from 1 practitioner Practice locations: Vernon, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | L8579 | TX | Yes |
Addresses
Primary practice location
4103 Wilbarger St
Vernon, TX 76384-3137
Mailing address
4103 Wilbarger St
Vernon, TX 76384-3137
Phone (940) 553-2140
Other names
- Kevin Lane DO
Other providers in Vernon, TX
- Michael T. Jumes
- Alexander M. Kalmanov
- Hannah Karr
- Jennifer Kauer
- Vera Marie Kemp
- KGC Operator, Inc.
- Kimberly Horn
- Jill Marie King
- Kenneth J Kohutek
- Kevin B Lane
All providers in Vernon, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.