Individual
KEVIN K DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 PEARL STREET, KINGSTON, NY 12401
(845) 331-8222
(845) 331-1433
Mailing address
26 PEARL STREET, KINGSTON, NY 12401
(845) 331-8222
(845) 331-1433
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
194425
NY
207RG0100X
Gastroenterology Physician
Primary
1944251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01724441
—
NY
Enumeration date
11/10/2005
Last updated
05/24/2021
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