Individual
KEVIN ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-10593
NC
Other
Enumeration date
06/23/2016
Last updated
01/14/2021
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