Berry, Kevin J

Berry, Kevin J is an individual health care provider with primary practice located at 380 Merrimack St Ste. 2D, Methuen MA 01844-5870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Berry, Kevin J can be contacted via phone (978) 794-0234.

Contact Information

Primary practice address
380 Merrimack St Ste. 2D Methuen MA 01844-5870
Phone: (978) 794-0234
Fax: (978) 794-0560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 48471 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 48471 Massachusetts

Profile Details

NPI number 1487653861
LBN Legal business name Berry, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 5th, 2011 - about 13 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 1487653861 NPPES
Massachusetts MEDICAID 0153109
Massachusetts MEDICAID 30006739

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