Individual
MR. KEVIN ROBERT DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
418 CURIE BLVD, PHILADELPHIA, PA 19104-4217
(215) 898-8281
Mailing address
555 CHESTERTOWN ST, GAITHERSBURG, MD 20878-5717
(301) 873-1060
(772) 325-5881
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R169146
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R169146
MD
Other
Enumeration date
11/04/2008
Last updated
05/08/2015
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