Individual
MR. KEVIN PATRICK MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 WASHINGTON ST, SUITE WH/441, NEWTON, MA 02462-1650
(617) 243-6000
Mailing address
69 GILSON RD, SCITUATE, MA 02066-4644
(617) 646-9796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6082
MA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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