Individual
KEVIN M HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
152 LAKEVIEW AVE, CLIFTON, NJ 07011
(973) 340-8970
(973) 340-8632
Mailing address
152 LAKEVIEW AVE, CLIFTON, NJ 07011
(973) 340-8970
(973) 340-8632
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01387
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3227308
—
NJ
Enumeration date
07/07/2006
Last updated
04/10/2008
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