Bannon, Kevin R

Bannon, Kevin R is an individual health care provider with primary practice located at 1200 S Cedar Crest Blvd , Allentown PA 18103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bannon, Kevin R can be contacted via phone (610) 402-8088.

Contact Information

Primary practice address
1200 S Cedar Crest Blvd Allentown PA 18103
Phone: (610) 402-8088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD070875L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD070785L Pennsylvania

Profile Details

NPI number 1215907456
LBN Legal business name Bannon, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Nov 6th, 2018 - about 6 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 1215907456 NPPES
Pennsylvania MEDICAID 0018060670001

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