Individual
KEVIN M HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1200 OLD YORK RD, 5 TOLL, ABINGTON, PA 19001-3720
(215) 481-4200
(215) 881-9587
Mailing address
1200 OLD YORK RD, 5 TOLL, ABINGTON, PA 19001-3720
(215) 481-4200
(215) 881-9587
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP008480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232359401
MAIN LINE HEALTHCARE
PW
Enumeration date
02/27/2006
Last updated
04/09/2018
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