Petit, Kevin Peter

Petit, Kevin Peter is an individual health care provider with primary practice located at 750 Washington St Box #44, Boston MA 02111-1526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Petit, Kevin Peter can be contacted via phone (617) 636-4194.

Contact Information

Primary practice address
750 Washington St Box #44 Boston MA 02111-1526
Phone: (617) 636-4194
Fax: (617) 636-8391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 56159 Massachusetts

Profile Details

NPI number 1750400461
LBN Legal business name Petit, Kevin Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Nov 14th, 2018 - about 7 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 1750400461 NPPES
Massachusetts MEDICAID 3044319

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