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Individual
KEVIN GUNNEY PHAM
Active
Individual
KEVIN GUNNEY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO1944
NV
207R00000X
Internal Medicine Physician
SL0902
NV
208M00000X
Hospitalist Physician
Primary
20A14043
CA
Other
Enumeration date
06/20/2012
Last updated
04/11/2018
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