Individual
DR. KEVIN BERNARD MCSWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4051 E FAIRVIEW AVE, MERIDIAN, ID 83642-5801
(208) 373-7926
Mailing address
2320 N 24TH ST, BOISE, ID 83702-0209
(208) 891-0551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-848
ID
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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