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Mr. Kevin Mccarthy
General Practice Physician in San Luis Obispo, California
NPI 1093946287

Kevin Mccarthy is a General Practice Physician based in San Luis Obispo, CA. Kevin Mccarthy practices in San Luis Obispo, CA. The NPI Number for Kevin Mccarthy is 1093946287 and holds a License No. PA10993 (California).

The current practice location address for Kevin Mccarthy is 1 Grand Ave, San Luis Obispo, CA and can be reached out via phone at 805-756-1211.

Location: 1 Grand Ave, San Luis Obispo, CA, 93407-0210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093946287
Provider Name
Kevin Mccarthy
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Grand Ave, San Luis Obispo, CA, 93407-0210
Phone Number
805-756-1211
Fax Number
Provider Enumeration Date
08/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA10993 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1 Grand Ave
City
San Luis Obispo
State
California
Zip
93407-0210
Phone Number
805-756-1211
Fax Number
person
Provider Business Mailing Address Details
Address
1 Grand Ave
City
San Luis Obispo
State
California
Zip
93407-0210
Phone Number
805-756-1211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
PA10993 (California)
Definition
Definition to come...
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