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Individual

KEVIN P CALVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
832 KOHL AVE, HEDGELAWN PLAZA, MIDDLETOWN, DE 19709
(302) 545-3987
Mailing address
211 TESTAVERDE RD, NEWARK, DE 19702-4859
(302) 545-3987

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10002309
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11891511
CAQH
01
1356510994
CHAMPUS TRICARE
05
1356510994
DE
01
3499701000
IBC
Enumeration date
02/28/2008
Last updated
04/20/2018
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