Staley, Kevin Joseph
Staley, Kevin Joseph is an individual health care provider with primary practice located at 55 Fruit Street Wac 708D, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Staley, Kevin Joseph can be contacted via phone (617) 643-0363.Contact Information
Primary practice address
55 Fruit Street Wac 708D
Boston MA 02114
Phone: (617) 643-0363
Fax: (617) 643-0141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 230011 | Massachusetts |
Profile Details
| NPI number | 1679512065 |
|---|---|
| LBN Legal business name | Staley, Kevin Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 26th, 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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