Individual
MR. KEVIN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1543 KINGSLEY AVE STE 14, ORANGE PARK, FL 32073-4570
(904) 264-6977
(904) 269-0870
Mailing address
1543 KINGSLEY AVE STE 14, ORANGE PARK, FL 32073-4570
(904) 264-6977
(904) 269-0870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9169554
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9169554
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9169554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019382200
—
FL
01
—
AI334T
MEDICARE
FL
01
—
APRN9169554
STATE LICENSE
FL
Enumeration date
02/26/2007
Last updated
03/07/2023
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