Individual
DR. KEVIN MABIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL ROAD, MARTHA'S VINEYARD HOSPITAL, OAK BLUFFS, MA 02557-1477
(508) 696-1052
(508) 790-6852
Mailing address
50 PINE LANE, WEST TISBURY, MA 02575
(508) 641-4976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52216
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110064528A
—
MA
01
—
S400305077
MEDICARE
MA
Enumeration date
06/02/2006
Last updated
10/24/2017
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