Individual
KEVIN MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 450-3138
Mailing address
102 CRYSTAL STONE WAY, JACKSONVILLE, NC 28546
(619) 820-2721
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1570
NE
Other
Enumeration date
06/04/2015
Last updated
10/19/2016
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