Fitzgerald, Kevin G

Fitzgerald, Kevin G is an sole proprietor health care provider with primary practice located at 1013 Wexford Plaza Dr , Wexford PA 15090-9214. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fitzgerald, Kevin G can be contacted via phone (724) 940-2323.

Contact Information

Primary practice address
1013 Wexford Plaza Dr Wexford PA 15090-9214
Phone: (724) 940-2323
Fax: (724) 940-2340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT013543L Pennsylvania

Profile Details

NPI number 1972564789
LBN Legal business name Fitzgerald, Kevin G
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Nov 20th, 2013 - about 11 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 1972564789 NPPES
Pennsylvania MEDICAID 0018254100004

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