Roelofs, Kevin Jon

Roelofs, Kevin Jon is an individual health care provider with primary practice located at 100 Griffin Rd Unit A, Portsmouth NH 03801-7158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Roelofs, Kevin Jon can be contacted via phone (603) 436-7897.

Contact Information

Primary practice address
100 Griffin Rd Unit A Portsmouth NH 03801-7158
Phone: (603) 436-7897
Fax: (603) 436-7855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 12404 New Hampshire
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 12404 New Hampshire

Profile Details

NPI number 1982601084
LBN Legal business name Roelofs, Kevin Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Aug 31st, 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 1982601084 NPPES
New Hampshire Other 01Y007809NH01 ANTHEM NH ID #
New Hampshire MEDICAID 30204663 ANTHEM NH ID #

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