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General NPI Number Information
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NPI Number | 1265407498
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Entity Type | Individual
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Provider Name | KEVIN CHRISTOPHER KEARNEY MD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 201 HALL HWY
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City | CRISFIELD
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State | MD
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Zip | 21817-1237
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Country | US
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Telephone | 410-968-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E CARROLL ST
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-546-6400
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D17029
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License Number State | MD
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