Mccormick, Kevin

Mccormick, Kevin is an individual health care provider with primary practice located at 3946 Oneida St , New Hartford NY 13413-9702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mccormick, Kevin can be contacted via phone (315) 624-8300.

Contact Information

Primary practice address
3946 Oneida St New Hartford NY 13413-9702
Phone: (315) 624-8300
Fax: (315) 624-8328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 178068-1 New York

Profile Details

NPI number 1114917234
LBN Legal business name Mccormick, Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Feb 6th, 2014 - about 12 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 1114917234 NPPES
New York MEDICAID 01150774
New York Other 110186365

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