Ary, Kermit Roosevelt

Ary, Kermit Roosevelt is an individual health care provider with primary practice located at 531 7Th Ave , Albany GA 31701-1921. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ary, Kermit Roosevelt can be contacted via phone (229) 883-3535.

Contact Information

Primary practice address
531 7Th Ave Albany GA 31701-1921
Phone: (229) 883-3535
Fax: (229) 883-3783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000465 Georgia

Profile Details

NPI number 1811980014
LBN Legal business name Ary, Kermit Roosevelt
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811980014 NPPES
Georgia MEDICAID 00198569A

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