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NPI 1669492930

NPI 1669492930 : SETH ANDREW KEARNEY DPM : ATHENS, OH

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General NPI Number Information
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    NPI Number           |    1669492930
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    Entity Type          |    Individual 
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    Provider Name        |    SETH ANDREW KEARNEY DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/20/2006
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    Last Update Date     |    04/22/2025
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Provider Practice Location Address
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    Address Line         |    2131 EAST STATE STREET 
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    City                 |    ATHENS
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    State                |    OH
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    Zip                  |    45701-1560
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    Country              |    US
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    Telephone            |    740-589-3100
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    Fax                  |    740-566-4014
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Provider Business Mailing Address
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    Address Line         |    90 JACKSON PIKE 
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    City                 |    GALLIPOLIS
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    State                |    OH
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    Zip                  |    45631-1560
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    Country              |    US
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    Telephone            |    740-589-3100
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    Fax                  |    740-566-4015
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    36.003435
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    License Number State |    OH
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