Individual
KEVIN M. MCGEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3505 LAKE CITY HWY, WARSAW, IN 46580-3942
(574) 372-7676
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02003691A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200986730
—
IN
Enumeration date
10/07/2005
Last updated
10/05/2020
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