Byrne, Kevin Gerard

Byrne, Kevin Gerard is an individual health care provider with primary practice located at 1029 Nichols Rd Ste 201 , Osage Beach MO 65065-3008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Byrne, Kevin Gerard can be contacted via phone (573) 302-7138.

Contact Information

Primary practice address
1029 Nichols Rd Ste 201 Osage Beach MO 65065-3008
Phone: (573) 302-7138
Fax: (573) 302-7123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DO107693 Missouri

Profile Details

NPI number 1326020082
LBN Legal business name Byrne, Kevin Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 21st, 2022 - about 3 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 1326020082 NPPES
Missouri Other 110198631 RR MEDICARE
Missouri MEDICAID 247961113 RR MEDICARE

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