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Individual

DR. KELVIN A BARRY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
204 GROVE AVE STE G, WEST DEPTFORD, NJ 08086-2557
(877) 487-3338
Mailing address
204 GROVE AVE STE G, WEST DEPTFORD, NJ 08086-2557
(877) 487-3338

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
25MD00365600
NJ
213ES0000X
Sports Medicine Podiatrist
25MD00365600
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00365600
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N006134
NY
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00365600
NJ
213ES0131X
Foot Surgery Podiatrist
N006134
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02882406
NY
01
25MD00365600
NEW JERSEY STATE LICENSE
NJ
01
N006134
NEW YORK STATE LICENSE
NY
Enumeration date
10/10/2005
Last updated
12/29/2023
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