Provider Demographics
NPI:1720463565
Name:ALVEY, KEVIN (MA)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:ALVEY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16750 KAREN RD
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8235
Mailing Address - Country:US
Mailing Address - Phone:559-970-5640
Mailing Address - Fax:
Practice Address - Street 1:37193 AVENUE 12 STE 3H
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-8756
Practice Address - Country:US
Practice Address - Phone:559-970-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health