Healthcare Provider Details

I. General information

NPI: 1669492930
Provider Name (Legal Business Name): SETH ANDREW KEARNEY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 EAST STATE STREET
ATHENS OH
45701-1560
US

IV. Provider business mailing address

90 JACKSON PIKE
GALLIPOLIS OH
45631-1560
US

V. Phone/Fax

Practice location:
  • Phone: 740-589-3100
  • Fax: 740-566-4014
Mailing address:
  • Phone: 740-589-3100
  • Fax: 740-566-4015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36.003435
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: