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NPI Code Detail

MEDICARE: KEVIN J DOYLE MD

MEDICARE: KEVIN J DOYLE MD
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
1207RC0000XCardiovascular Disease PhysicianD31122MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1060013952OTHERMDRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457343592
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN J DOYLE MD
Provider Business Mailing Address
First Line : 1417 MADISON PARK DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5613
Country : US
Telephone Number : 410-768-6600
Fax Number : 410-768-3132
Provider Business Practice Location Address
First Line : 1417 MADISON PARK DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5613
Country : US
Telephone Number : 410-768-6600
Fax Number : 410-768-3132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 03/19/2012

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