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

MR. KEVIN JOSEPH KERVICK, MS

Active Sole Proprietor

MR. KEVIN JOSEPH KERVICK, MS is a Marriage & Family Therapist healthcare provider located in HAYDEN, Idaho. NPI 1619031390 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · HAYDEN, ID

Registration Details

NPI Number
1619031390
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2006 (19.624414430604 yrs)
Last Updated
Dec 4, 2025
Licenses
LMFT-8157 (ID)
8187 (ID)
Sole Proprietor
Yes

Practice Information

Address
109 W HONEYSUCKLE AVE UNIT 3414
HAYDEN, ID, 838359910
Browse ID providers · Browse ZIP 83835
Phone
6038975504
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Health & Wellness Coach
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.