Kearney, Michael C

Kearney, Michael C is an individual health care provider with primary practice located at 319 Longwood Ave , Boston MA 02115-5728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kearney, Michael C can be contacted via phone (617) 277-0100.

Contact Information

Primary practice address
319 Longwood Ave Boston MA 02115-5728
Phone: (617) 277-0100
Fax: (617) 232-7571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 209641 Massachusetts

Profile Details

NPI number 1386646909
LBN Legal business name Kearney, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
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 1386646909 NPPES
Massachusetts MEDICAID 0170097

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