Individual
KEVIN GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1045 FRANKFORD AVE, APT 301, PHILADELPHIA, PA 19125-4123
(516) 510-9794
Mailing address
1045 FRANKFORD AVE, APT 301, PHILADELPHIA, PA 19125-4123
(516) 510-9794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017930
NY
Other
Enumeration date
08/27/2014
Last updated
04/05/2023
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