Individual
DR. KEVIN RAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, BOX 655, ROCHESTER, NY 14621-3001
(585) 922-3469
Mailing address
32 ROOSEVELT RD, ROCHESTER, NY 14618-2903
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
246115
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2006
Last updated
02/25/2009
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