Treacy, Kevin William

Treacy, Kevin William is an individual health care provider with primary practice located at 324 W Superior St 800 Medical Arts, Duluth MN 55802-1701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Treacy, Kevin William can be contacted via phone (218) 249-3570.

Contact Information

Primary practice address
324 W Superior St 800 Medical Arts Duluth MN 55802-1701
Phone: (218) 249-3570
Fax: (218) 722-8582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28594 Minnesota

Profile Details

NPI number 1427088228
LBN Legal business name Treacy, Kevin William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 8th, 2020 - about 5 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 1427088228 NPPES
Minnesota MEDICAID 337587100

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