Le Roy, Kevin T

Le Roy, Kevin T is an individual health care provider with primary practice located at 110 W 6Th St , Oswego NY 13126-2507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Le Roy, Kevin T can be contacted via phone (315) 349-5511.

Contact Information

Primary practice address
110 W 6Th St Oswego NY 13126-2507
Phone: (315) 349-5511
Fax: (315) 349-5732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 335967 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 335967 New York

Profile Details

NPI number 1316175052
LBN Legal business name Le Roy, Kevin T
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Apr 9th, 2012 - about 12 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 1316175052 NPPES
New York MEDICAID 03133180

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