Individual
KEVIN LEO MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
2920 KETCH ST, KENAI, AK 99611-8845
(907) 953-8995
Mailing address
2920 KETCH ST, KENAI, AK 99611-8845
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3271-28
WI
Other
Enumeration date
12/04/2010
Last updated
12/04/2010
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