Raftery, Kevin Barry

Raftery, Kevin Barry is an individual health care provider with primary practice located at Lahey Clinic Dept Of Vascular Surgery 41 Mall Road, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Raftery, Kevin Barry can be contacted via phone (781) 744-8574.

Contact Information

Primary practice address
Lahey Clinic Dept Of Vascular Surgery 41 Mall Road Burlington MA 01805-0001
Fax: (781) 744-5744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 72610 Massachusetts

Profile Details

NPI number 1548325046
LBN Legal business name Raftery, Kevin Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Apr 5th, 2010 - about 14 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 1548325046 NPPES
Massachusetts MEDICAID 110052732A

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