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Individual

KEVIN FORSYTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20930 DUPONT BLVD, GEORGETOWN, DE 19947-1725
(302) 856-3737
(302) 856-7337
Mailing address
20930 DUPONT BLVD, GEORGETOWN, DE 19947-1725

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0052530
DE
363L00000X
Nurse Practitioner
Primary
LG-0012483
DE

Other

Enumeration date
09/15/2023
Last updated
10/31/2023
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