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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN ANDREW SCOTT CARROLL II, M.D.

Deactivated

DR. KEVIN ANDREW SCOTT CARROLL II, M.D. is a Student (Health Education/Training) healthcare provider located in BAYSHORE, New York. NPI 1033732581 is deactivated in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · BAYSHORE, NY

This NPI has been deactivated. The record was deactivated on January 17, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1033732581
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2020 (1.6657534246575 yrs)
Last Updated
Mar 5, 2022
Deactivated
Jan 17, 2022

Practice Information

Address
301 E MAIN ST.
BAYSHORE, NY, 11706
Browse NY providers · Browse ZIP 11706
Phone
6788004317
Primary Specialty
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.