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Contact Information

KELVIN A BARRY SR, DPM
204 GROVE AVE STE G
WEST DEPTFORD, NJ08086-2557
 Phone: 877-487-3338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KELVIN A BARRY SR · (Male)

NPI # 1225026727
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/10/2005
Last updated 12/29/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00365600
  • NY License # N006134
  • NY Medicaid 02882406
  • NJ Other 25MD00365600 NEW JERSEY STATE LICENSE
  • NY Other N006134 NEW YORK STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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