Fennelly, Kevin Patrick

Fennelly, Kevin Patrick is an individual health care provider with primary practice located at Nih Nhlbi Cardiovascular Br 10 Center Drive, Bldg 10, Room 6-3152, Bethesda MD 20892-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fennelly, Kevin Patrick can be contacted via phone (301) 827-0511.

Contact Information

Primary practice address
Nih Nhlbi Cardiovascular Br 10 Center Drive, Bldg 10, Room 6-3152 Bethesda MD 20892-0001
Phone: (301) 827-0511
Fax: (301) 451-7093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA07311800 New Jersey
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 25MA07311800 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME106064 Florida

Profile Details

NPI number 1255352597
LBN Legal business name Fennelly, Kevin Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Dec 16th, 2015 - about 9 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 1255352597 NPPES
New Jersey MEDICAID 5650607
New Jersey MEDICAID 001760100

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