Fennelly, Kevin Patrick
Fennelly, Kevin Patrick is an individual health care provider with primary practice located at Nih Nhlbi Cardiovascular Br 10 Center Drive, Bldg 10, Room 6-3152, Bethesda MD 20892-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fennelly, Kevin Patrick can be contacted via phone (301) 827-0511.Contact Information
Primary practice address
Nih Nhlbi Cardiovascular Br 10 Center Drive, Bldg 10, Room 6-3152
Bethesda MD 20892-0001
Phone: (301) 827-0511
Fax: (301) 451-7093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA07311800 | New Jersey |
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 25MA07311800 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME106064 | Florida |
Profile Details
| NPI number | 1255352597 |
|---|---|
| LBN Legal business name | Fennelly, Kevin Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Dec 16th, 2015 - about 11 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 | 1255352597 | NPPES |
| New Jersey | MEDICAID | 5650607 | |
| New Jersey | MEDICAID | 001760100 |
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