Provider Demographics
NPI:1861996472
Name:FOREY, KEVIN PATRICK II (MD-MBA)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:PATRICK
Last Name:FOREY
Suffix:II
Gender:M
Credentials:MD-MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10869 N SCOTTSDALE RD # 103-915
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5280
Mailing Address - Country:US
Mailing Address - Phone:480-608-5101
Mailing Address - Fax:844-528-1421
Practice Address - Street 1:10869 N SCOTTSDALE RD # 103-915
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5280
Practice Address - Country:US
Practice Address - Phone:480-608-5101
Practice Address - Fax:844-528-1421
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ59220208M00000X
AZR76681207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist