Healthcare Provider Details

I. General information

NPI: 1437530128
Provider Name (Legal Business Name): DR. KEVIN DOYLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 PINKERTON LN
ZANESVILLE OH
43701-1513
US

IV. Provider business mailing address

2725 PINKERTON LN
SOUTH ZANESVILLE OH
43701-1513
US

V. Phone/Fax

Practice location:
  • Phone: 740-891-9000
  • Fax: 888-454-5157
Mailing address:
  • Phone: 740-891-9000
  • Fax: 888-454-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125.067496
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.137537
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: