| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN ROBERT DORAY | 1447659636 | 2024-09-06 |
Kevin Robert Doray is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447659636. Registration indicates Kevin Robert Doray is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Critical Care Medicine, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Kevin Robert Doray AG-ACNP |
| Practice Office Address | 55 LAKE AVE N WORCESTER, MA US |
| Practice Office Telephone | 5083343155 |
| Mailing Address | PO BOX 415348 BOSTON, MA 022415348 US |
| Business Telephone | 8002258885 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | RN276827
MA |
| 363LC0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Critical Care Medicine All Other Specialties & Provider Types Nurse Practitioner Critical Care Medicine Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN276827
MA |
| 110104593A | MEDICAID | MA |