Rivera Colon, Kevin Y

Rivera Colon, Kevin Y is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rivera Colon, Kevin Y can be contacted via phone (603) 695-2500.

Contact Information

Primary practice address
100 Hitchcock Way Manchester NH 03104-4125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12815 New Hampshire

Profile Details

NPI number 1003889759
LBN Legal business name Rivera Colon, Kevin Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 24th, 2021 - about 3 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 1003889759 NPPES
New Hampshire MEDICAID 30205146

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