Provider Demographics
NPI:1265407498
Name:KEARNEY, KEVIN CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:CHRISTOPHER
Last Name:KEARNEY
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 1:100 E CARROLL ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5422
Mailing Address - Country:US
Mailing Address - Phone:410-546-6400
Mailing Address - Fax:
Practice Address - Street 1:201 HALL HWY
Practice Address - Street 2:
Practice Address - City:CRISFIELD
Practice Address - State:MD
Practice Address - Zip Code:21817-1237
Practice Address - Country:US
Practice Address - Phone:410-968-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD17029207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD303940OtherCOVENTRY
MD41596605OtherCAREFIRST BC/BS RENDERING
MD735687OtherNCPPO
MD521116591OtherMARYLAND PHYSICIANS CARE
MD1417210OtherCIGNA
MD3100658OtherOPTIMUM CHPICE/MDIPA/MAMS
MD031198OtherPRIORITY PARTNERS
MD521116591OtherINFORMED
MD784381000Medicaid
MD4459514OtherAETNA
MD521116591OtherTRICARE
MDT5880027OtherCF BC/BS GRP/GHMSI/BL CHO
MD521116591OtherMARYLAND PHYSICIANS CARE
MD521116591OtherINFORMED