Provider Demographics
NPI:1265486369
Name:SILVA, KEVIN A (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:A
Last Name:SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:580 SAINT JOHNSBURY RD STE J
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-3439
Mailing Address - Country:US
Mailing Address - Phone:603-444-2002
Mailing Address - Fax:603-444-2226
Practice Address - Street 1:580 SAINT JOHNSBURY RD STE J
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3439
Practice Address - Country:US
Practice Address - Phone:603-444-2002
Practice Address - Fax:603-444-2226
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH11883207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30203827Medicaid
NHH92138Medicare UPIN
NHH92138Medicare UPIN