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Individual
MR. KEVIN O'BRIEN
Active
Individual
MR. KEVIN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PRO25093-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000471308002
BLUE SHIELD NENY
NY
01
—
134173
VALUE OPTIONS
NY
01
—
61420
MOHAWK VALLEY PHYSICIANS
NY
01
—
A935909
CAPITAL DISTRICT PHYSICIA
NY
01
—
N004A
EMPIRE BCBS
NY
01
—
U87066
AMERIHEALTH
NY
Enumeration date
09/02/2006
Last updated
08/05/2013
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