Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN LEE HASTINGS JR., DO
Active Sole ProprietorDR. KEVIN LEE HASTINGS JR., DO is a Vascular Surgery healthcare provider located in JOHNSON CITY, New York. NPI 1639279748 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · JOHNSON CITY, NY
Registration Details
- NPI Number
- 1639279748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (19.904774863852 yrs)
- Last Updated
- Dec 17, 2019
- License
-
200637 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
153 OAKDALE RDJOHNSON CITY, NY, 137901007Browse NY providers · Browse ZIP 13790
- Phone
- 6077489001
- Fax
- 6077488546
- Primary Specialty
-
Vascular Surgery
208VP0000X
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.