Individual
DR. KEVIN JUDE EMERY
Active
Individual
DR. KEVIN JUDE EMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00312100
NJ
111NS0005X
Sports Physician Chiropractor
X0044501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076805
AETNA PROVIDER IDENTIFICA
NJ
01
—
222854051
TAX IDENTIFICATION NUMBER
NJ
01
—
607510
UNITED HEALTHCARE PROVIDE
NJ
01
—
P643830
OXFORD PROVIDER NUMBER
NJ
Enumeration date
11/10/2006
Last updated
07/08/2007
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