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Individual

MR. KEVIN JOHN O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
NATIONAL INSTITUTES OF HEALTH 10 CENTER DRIVE, BLDG. 10 CRC RM 3-2551, BETHESDA, MD 28092-1205
(301) 435-2824
(301) 496-7157
Mailing address
NATIONAL INSTITUTES OF HEALTH 10 CENTER DRIVE, BLDG. 10 CRC RM 3-2551, BETHESDA, MD 28092-1205
(301) 435-2824
(301) 496-7157

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R115472
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0320208
ADULT NP CERTIFICATION NUMBER
MD
01
R115472
RN LICENSE NUMBER
MD
Enumeration date
04/01/2009
Last updated
04/01/2009
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