Provider Demographics
NPI:1386701092
Name:NEWBURYPORT FAMILY PRACTICE,P.C.
Entity type:Organization
Organization Name:NEWBURYPORT FAMILY PRACTICE,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LANPHEAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:978-465-7322
Mailing Address - Street 1:3 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3973
Mailing Address - Country:US
Mailing Address - Phone:978-465-7322
Mailing Address - Fax:978-462-8746
Practice Address - Street 1:3 CHERRY ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3973
Practice Address - Country:US
Practice Address - Phone:978-465-7322
Practice Address - Fax:978-462-8746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty