Heaton, Kevin D

Heaton, Kevin D is an individual health care provider with primary practice located at 62 Brown St Ste 303 , Haverhill MA 01830-6790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Heaton, Kevin D can be contacted via phone (978) 794-1946.

Contact Information

Primary practice address
62 Brown St Ste 303 Haverhill MA 01830-6790
Phone: (978) 794-1946
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 245591 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15345 New Hampshire
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 15345 New Hampshire
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 245591 Massachusetts

Profile Details

NPI number 1225202237
LBN Legal business name Heaton, Kevin D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Jun 18th, 2024 - about 3 months 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 1225202237 NPPES
New Hampshire MEDICAID 3077761

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