Daly, Kevin P

Daly, Kevin P is an individual health care provider with primary practice located at 840 Harrison Ave , Boston MA 02118-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Daly, Kevin P can be contacted via phone (617) 638-6610.

Contact Information

Primary practice address
840 Harrison Ave Boston MA 02118-2905
Phone: (617) 638-6610
Fax: (617) 638-6616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 236030 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 236030 Massachusetts

Profile Details

NPI number 1538295787
LBN Legal business name Daly, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2007
Last updated Feb 22nd, 2022 - about 2 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 1538295787 NPPES
Massachusetts MEDICAID 110079979A
Massachusetts MEDICAID 3124399

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