Healey, Kevin M

Healey, Kevin M is an individual health care provider with primary practice located at 152 Lakeview Ave , Clifton NJ 07011. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Healey, Kevin M can be contacted via phone (973) 340-8970.

Contact Information

Primary practice address
152 Lakeview Ave Clifton NJ 07011
Phone: (973) 340-8970
Fax: (973) 340-8632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD01387 New Jersey

Profile Details

NPI number 1265464515
LBN Legal business name Healey, Kevin M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 10th, 2008 - about 16 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 1265464515 NPPES
New Jersey MEDICAID 3227308

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