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Individual

KEVIN MICHAEL MCGOVERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4351 NORTHVIEW DRIVE, BOWIE, MD 20716-2602
(301) 464-1893
(301) 464-1824
Mailing address
824 MONROE MANOR RD, STEVENSVILLE, MD 21666-2216
(410) 643-9479
(301) 464-1824

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16946
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
547748 01
CAREFIRST
MD
01
S891 0004
CAREFIRST
Enumeration date
11/27/2006
Last updated
05/21/2008
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