Individual
KEVIN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE, TACOMA, WA 98431-5001
(253) 968-2252
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OP61276888
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224309
—
WA
Enumeration date
05/11/2018
Last updated
01/05/2023
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