Macready, Kevin M

Macready, Kevin M is an individual health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Macready, Kevin M can be contacted via phone (443) 481-1000.

Contact Information

Primary practice address
2001 Medical Pkwy Annapolis MD 21401-3280
Phone: (443) 481-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0047960 Maryland

Profile Details

NPI number 1750369294
LBN Legal business name Macready, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 19th, 2007 - about 18 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 1750369294 NPPES
Maryland Other 2502547 AETNA HMO
Maryland Other LU71AN 82048903 AETNA HMO
Maryland Other F125 0001 AETNA HMO
Maryland MEDICAID 507000702 939250500 AETNA HMO

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