Barry, Kelvin A
Barry, Kelvin A is an sole proprietor health care provider with primary practice located at 204 Grove Ave Ste G , West Deptford NJ 08086-2557. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Barry, Kelvin A can be contacted via phone (877) 487-3338.Contact Information
Primary practice address
204 Grove Ave Ste G
West Deptford NJ 08086-2557
Phone: (877) 487-3338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 25MD00365600 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 25MD00365600 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00365600 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | N006134 | New York |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N006134 | New York |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 25MD00365600 | New Jersey |
Profile Details
| NPI number | 1225026727 |
|---|---|
| LBN Legal business name | Barry, Kelvin A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Dec 29th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225026727 | NPPES |
| New York | Other | N006134 | NEW YORK STATE LICENSE |
| New York | MEDICAID | 02882406 | NEW YORK STATE LICENSE |
| New York | Other | 25MD00365600 | NEW YORK STATE LICENSE |
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