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Individual
KEVIN M CARR
Active
Individual
KEVIN M CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034069
NY
363AM0700X
Medical Physician Assistant
034069
NY
363AM0700X
Medical Physician Assistant
MA064582
PA
Other
Enumeration date
06/22/2023
Last updated
08/18/2026
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