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Individual

DR. KEVIN LEE HASTINGS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
153 OAKDALE RD, JOHNSON CITY, NY 13790-1007
(607) 748-9001
(607) 748-8546
Mailing address
153 OAKDALE RD, JOHNSON CITY, NY 13790-1007
(607) 748-9001
(607) 748-8546

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
200637
NY

Other

Enumeration date
09/25/2006
Last updated
12/17/2019
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