Flanagan, Kevin P.

Flanagan, Kevin P. is an individual health care provider with primary practice located at 250 Tuytenbridge Rd , Lake Katrine NY 12449-5429. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Flanagan, Kevin P. can be contacted via phone (845) 336-7235.

Contact Information

Primary practice address
250 Tuytenbridge Rd Lake Katrine NY 12449-5429
Phone: (845) 336-7235
Fax: (845) 336-4726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 014075-1 New York

Profile Details

NPI number 1649499682
LBN Legal business name Flanagan, Kevin P.
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649499682 NPPES
New York MEDICAID 00473001

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