Reddall, Kevin Stewart

Reddall, Kevin Stewart is an sole proprietor health care provider with primary practice located at 265 Beach St , Revere MA 02151-3131. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reddall, Kevin Stewart can be contacted via phone (860) 303-9670.

Contact Information

Primary practice address
265 Beach St Revere MA 02151-3131
Phone: (860) 303-9670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1871752824
LBN Legal business name Reddall, Kevin Stewart
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2008
Last updated Dec 9th, 2011 - about 13 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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