Hagerty, Kevin Patrick

Hagerty, Kevin Patrick is an individual health care provider with primary practice located at 61 Cedar Avenue Steeple View East, #5, East Greenwich RI 02818-3190. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hagerty, Kevin Patrick can be contacted via phone (401) 884-4874.

Contact Information

Primary practice address
61 Cedar Avenue Steeple View East, #5 East Greenwich RI 02818-3190
Phone: (401) 884-4874
Fax: (401) 884-4928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2155 Rhode Island

Profile Details

NPI number 1902865231
LBN Legal business name Hagerty, Kevin Patrick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 13th, 2012 - about 14 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 1902865231 NPPES
Rhode Island MEDICAID KH00257
Rhode Island Other 8048-6

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