Individual
KEVIN ROBERT MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8004 MYRTLE TRACE DRIVE, SUITE 200, CONWAY, SC 29526-2952
(843) 347-8041
(843) 347-8042
Mailing address
300 SINGLETON RIDGE ROAD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
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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