Individual
KEVIN P MCKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 ALGONQUIN RD, STE 900, ROLLING MEADOWS, IL 60008-3127
(847) 577-0620
Mailing address
3701 ALGONQUIN RD, STE 900, ROLLING MEADOWS, IL 60008-3127
(847) 577-0620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48703
MN
207RH0003X
Hematology & Oncology Physician
Primary
036-127475
IL
207RH0003X
Hematology & Oncology Physician
48703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701465000
—
MN
01
—
P00413287
MEDICARE RAILROAD
MN
Enumeration date
08/07/2006
Last updated
12/20/2011
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