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Individual
KEVIN RICHARD EMMONS
Active
Individual
KEVIN RICHARD EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DRNP,APN-C,AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00488900
NJ
363LA2200X
Adult Health Nurse Practitioner
SP013577
PA
363LG0600X
Gerontology Nurse Practitioner
26NJ00488900
NJ
363LG0600X
Gerontology Nurse Practitioner
SP013577
PA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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