Individual
KEVIN KEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
870 PALISADE AVE STE 205, TEANECK, NJ 07666-3445
(201) 836-1663
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MP00329000
NJ
363A00000X
Physician Assistant
MA056670
PA
Other
Enumeration date
03/27/2014
Last updated
09/17/2024
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