Hackett, Kevin C

Hackett, Kevin C is an individual health care provider with primary practice located at 11110 Medical Campus Rd Suite 228, Hagerstown MD 21742-6700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hackett, Kevin C can be contacted via phone (301) 733-0022.

Contact Information

Primary practice address
11110 Medical Campus Rd Suite 228 Hagerstown MD 21742-6700
Phone: (301) 733-0022
Fax: (301) 733-3461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D47115 Maryland
Allopathic & Osteopathic Physicians / Urology 208800000X MD0550551 Pennsylvania

Profile Details

NPI number 1568419901
LBN Legal business name Hackett, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Mar 22nd, 2016 - about 8 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 1568419901 NPPES
Maryland MEDICAID 370801200

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