Stanley, Kevin J
Stanley, Kevin J is an individual health care provider with primary practice located at 150 Fairview Rd Suite 230, Mooresville NC 28117-9504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stanley, Kevin J can be contacted via phone (704) 323-2000.Contact Information
Primary practice address
150 Fairview Rd Suite 230
Mooresville NC 28117-9504
Phone: (704) 323-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01066099A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2011-00228 | North Carolina |
Profile Details
| NPI number | 1144238338 |
|---|---|
| LBN Legal business name | Stanley, Kevin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Aug 11th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144238338 | NPPES |
| North Carolina | MEDICAID | 5917150 | |
| North Carolina | MEDICAID | Q0022K |
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