KENNETH M. IRVIS MD NPI 1306864202

NPI Information

NPI: 1306864202
Provider Name: KENNETH M. IRVIS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
860 S WHITE HORSE PIKE
HAMMONTON, NJ
ZIP 08037
Phone: (609) 567-0200
Get Directions

Kenneth M. Irvis, MD is an obstetrics gynecology in Hammonton, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Kenneth M. Irvis, MD NPI is 1306864202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

860 S WHITE HORSE PIKE
HAMMONTON, NJ
ZIP 08037-018
Phone: (609) 567-0200
Fax: (609) 567-1169

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		25MA08082600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0110779	MEDICAID	NEW JERSEY
2	B33625	MEDICARE UPIN
3	103585	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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