Individual
KEVIN ROBERT MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA054492
PA
363AS0400X
Surgical Physician Assistant
Primary
3517
SC
Other
Enumeration date
08/26/2010
Last updated
03/16/2021
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