Individual
KEVIN W. MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1295 ORANGE AVENUE, WINTER PARK, FL 32789-4984
(407) 628-5051
(407) 629-6096
Mailing address
PO BOX 198207, ATLANTA, GA 30384-8207
(800) 634-4064
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME109286
FL
Other
Enumeration date
06/07/2007
Last updated
10/29/2012
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