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NPI Code Detail

MEDICARE: KEVIN FEELEY DO

MEDICARE: KEVIN FEELEY DO
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
1207Q00000XFamily Medicine Physician05409KY

General Provider Information

NPI Number : 1881219822
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN FEELEY DO
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-491-2855
Fax Number : 859-655-4395
Provider Business Practice Location Address
First Line : 5100 PEACE WAY
Second Line :
City : TAYLOR MILL
State : KY
Zip : 41015-3506
Country : US
Telephone Number : 859-491-2855
Fax Number : 859-655-4395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2020
Last Update Date : 07/03/2023

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Directions to “ KEVIN FEELEY DO” Practice Location

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