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Individual
KEVIN GORMLEY
Active
Individual
KEVIN GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
97974
SC
363L00000X
Nurse Practitioner
ARNP9468054
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01447300
NJ
Other
Enumeration date
12/26/2006
Last updated
09/19/2024
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