Provider Demographics
NPI:1124722749
Name:ALBITE, KEVIN PETER
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:PETER
Last Name:ALBITE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 PASSAIC AVE APT A13
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3806
Mailing Address - Country:US
Mailing Address - Phone:305-469-2683
Mailing Address - Fax:
Practice Address - Street 1:134 PASSAIC AVE APT A13
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3806
Practice Address - Country:US
Practice Address - Phone:305-469-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program