Provider Demographics
NPI:1649545310
Name:KEVIN J FOLEY, MD PA
Entity type:Organization
Organization Name:KEVIN J FOLEY, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-349-6670
Mailing Address - Street 1:69 SWEET WATER WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-6401
Mailing Address - Country:US
Mailing Address - Phone:828-349-6670
Mailing Address - Fax:
Practice Address - Street 1:316 W MAIN ST
Practice Address - Street 2:SUITE 118
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2925
Practice Address - Country:US
Practice Address - Phone:828-349-6670
Practice Address - Fax:828-349-6675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00417208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5915149Medicaid
NC5915149Medicaid