Provider Demographics
NPI:1366401820
Name:JOYCE, KEVIN R (DO)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:R
Last Name:JOYCE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2580 HAYMAKER RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3500
Mailing Address - Country:US
Mailing Address - Phone:412-856-1811
Mailing Address - Fax:412-856-5871
Practice Address - Street 1:2580 HAYMAKER RD STE 302
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3500
Practice Address - Country:US
Practice Address - Phone:412-856-1811
Practice Address - Fax:412-856-5871
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS019515207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103128335Medicaid
11518494OtherCAQH
IN499500 BBBBMedicare PIN