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Individual
DR. KEVIN JONATHAN ROY
Active
Individual
DR. KEVIN JONATHAN ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003515
NY
213E00000X
Podiatrist
25MD00152500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003515
LICENSE
NY
01
—
25MD00152500
STATE LICENSE
NJ
01
—
3090
STATE LICENSE
CA
Enumeration date
01/11/2018
Last updated
01/11/2018
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