Individual
KEVIN ARTHUR MCKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-2513
Mailing address
107 SICOMAC AVE, MIDLAND PARK, NJ 07432-1758
(201) 445-7845
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO07583800
NJ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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