Individual
KEVIN JAMES MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2094
Mailing address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2094
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036138387
IL
207X00000X
Orthopaedic Surgery Physician
94-07207
KS
Other
Enumeration date
06/25/2009
Last updated
01/06/2022
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