Individual
DR. KEVIN J MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-5088
(518) 262-5400
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-5088
(518) 262-5400
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2018025924
MO
207T00000X
Neurological Surgery Physician
Primary
321788
NY
207T00000X
Neurological Surgery Physician
E11449
AR
207T00000X
Neurological Surgery Physician
MD181915
OR
207T00000X
Neurological Surgery Physician
TP389
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD181915
OREGON STATE MEDICAL BOARD
OR
Enumeration date
04/10/2009
Last updated
05/17/2023
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