Haney, Kevin Mark

Haney, Kevin Mark is an individual health care provider with primary practice located at 6 Lexington Blvd , Delaware OH 43015-1047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haney, Kevin Mark can be contacted via phone (740) 363-9021.

Contact Information

Primary practice address
6 Lexington Blvd Delaware OH 43015-1047
Phone: (740) 363-9021
Fax: (740) 383-7942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35082328H Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.082328 Ohio

Profile Details

NPI number 1235193194
LBN Legal business name Haney, Kevin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 15th, 2021 - about 4 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 1235193194 NPPES
Ohio MEDICAID 2424728

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