Mathews, Kevin

Mathews, Kevin is an individual health care provider with primary practice located at 120 Hobart St , Utica NY 13501-4308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mathews, Kevin can be contacted via phone (315) 798-1149.

Contact Information

Primary practice address
120 Hobart St Utica NY 13501-4308
Phone: (315) 798-1149
Fax: (315) 734-3565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X A166847-1 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A166847 New York

Profile Details

NPI number 1396735692
LBN Legal business name Mathews, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 13th, 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 1396735692 NPPES
New York Other 080177842 RRMCR
New York MEDICAID 01037645 RRMCR

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