MR. KEVIN MCCARTHY NPI 1093946287

NPI Information

NPI: 1093946287
Provider Name: MR. KEVIN MCCARTHY
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1 GRAND AVE
SAN LUIS OBISPO, CA
ZIP 93407
Phone: (805) 756-1211
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MR. Kevin Mccarthy is a general practice in San Luis Obispo, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MR. Kevin Mccarthy NPI is 1093946287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 GRAND AVE
SAN LUIS OBISPO, CA
ZIP 93407-210
Phone: (805) 756-1211

The enumeration date for this NPI number is 8/5/2009 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		PA10993	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA10993	OTHER	CALIFORNIA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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