Douglas, Kevin Andrew

Douglas, Kevin Andrew is an individual health care provider with primary practice located at 100 Middle Country Rd , Coram NY 11727-4412. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Douglas, Kevin Andrew can be contacted via phone (631) 696-9636.

Contact Information

Primary practice address
100 Middle Country Rd Coram NY 11727-4412
Phone: (631) 696-9636
Fax: (631) 696-9635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N007168 New York

Profile Details

NPI number 1174020598
LBN Legal business name Douglas, Kevin Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2018
Last updated Jun 6th, 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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