KEVIN GORMLEY ARNP NPI 1962567552

NPI Information

NPI: 1962567552
Provider Name: KEVIN GORMLEY, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4006 SHORE DR
VILLAS, NJ
ZIP 08251
Phone: (443) 889-2600
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Kevin Gormley, ARNP is a psychiatric/mental health nurse practitioner in Villas, NJ with 18 years of experience. Kevin Gormley, ARNP NPI is 1962567552. 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:

4006 SHORE DR
VILLAS, NJ
ZIP 08251-065
Phone: (443) 889-2600

The NPI 1962567552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 5/24/2023.

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	101YM0800X	Counselor	Mental Health	97974	SOUTH CAROLINA	No
2	363L00000X	Nurse Practitioner		ARNP9468054	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ01447300	NEW JERSEY	Yes

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: 4/28/2024

NPI Synchronization or Removal

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