Provider Demographics
NPI:1891950366
Name:DUNN, KEVIN B (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:B
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:313 SOUTH AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1364
Mailing Address - Country:US
Mailing Address - Phone:973-998-8301
Mailing Address - Fax:973-998-8302
Practice Address - Street 1:197 RIDGEDALE AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927
Practice Address - Country:US
Practice Address - Phone:973-998-8301
Practice Address - Fax:973-998-8302
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2018-11-13
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08627000208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
188437ZDWPMedicare PIN