Individual
KEVIN BARRY MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
74 OAKLAND AVE, WATERBURY, CT 06710-1438
(203) 757-6592
Mailing address
74 OAKLAND AVE, WATERBURY, CT 06710-1438
(203) 757-6592
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
E44558
CT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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