Provider Demographics
NPI:1720078801
Name:FOLEY, KEVIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:J
Last Name:FOLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:828-349-6675
Practice Address - Street 1:316 W MAIN ST
Practice Address - Street 2:
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
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67529208000000X
NC2010-00417208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5915149Medicaid
FL250577100Medicaid
FL370011568OtherRR MEDICARE
FL250577100Medicaid
FL32147ZMedicare PIN