Individual
DR. KEVIN JOHN LEARY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BARQUIST ARMY HEALTH CLINIC, 1434 PORTER STREET FORT DETRICK, FREDERICK, MD 21702
(301) 619-7175
Mailing address
10709 DEWEY WAY E, NEW MARKET, MD 21774-6357
(301) 865-0519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD420272
PA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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