MEDICARE: KEVIN ALLEYNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1215577333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN ALLEYNE

Provider Business Mailing Address
First Line	:	138 MOUNT VERNON ST
Second Line	:
City	:	FITCHBURG
State	:	MA
Zip	:	01420-2555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 MOUNT VERNON ST
Second Line	:
City	:	FITCHBURG
State	:	MA
Zip	:	01420-2555
Country	:	US
Telephone Number	:	978-400-5589
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	01/07/2020

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Directions to “ KEVIN ALLEYNE ” Practice Location

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