Individual
DR. KEVIN EMR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1768 ROUTE 9, HALFMOON, NY 12065-2402
(518) 489-2663
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20006
NH
207L00000X
Anesthesiology Physician
298821
NY
208VP0000X
Pain Medicine Physician
298821
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
298821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05730185
—
NY
Enumeration date
03/24/2015
Last updated
07/16/2025
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