Kieval, Raphael I.

Kieval, Raphael I. is an individual health care provider with primary practice located at 1351 Main St Rear, Brockton MA 02301-7153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Kieval, Raphael I. can be contacted via phone (508) 587-4112.

Contact Information

Primary practice address
1351 Main St Rear Brockton MA 02301-7153
Phone: (508) 587-4112
Fax: (508) 583-6810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 52349 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52349 Massachusetts

Profile Details

NPI number 1730155029
LBN Legal business name Kieval, Raphael I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730155029 NPPES
Massachusetts MEDICAID 3029042

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