Clancy, Kevin

Clancy, Kevin is an individual health care provider with primary practice located at 368 Lakehurst Rd Ste 301, Toms River NJ 08755-7339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Clancy, Kevin can be contacted via phone (732) 240-1048.

Contact Information

Primary practice address
368 Lakehurst Rd Ste 301 Toms River NJ 08755-7339
Phone: (732) 240-1048
Fax: (732) 240-3464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA40933 New Jersey

Profile Details

NPI number 1346245149
LBN Legal business name Clancy, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346245149 NPPES
New Jersey MEDICAID 1523201

Popular Providers