KEVIN JOHN S MCDANIEL NP NPI 1447902101

NPI Information

NPI: 1447902101
Provider Name: KEVIN JOHN S MCDANIEL, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
11234 ANDERSON ST SPC 1617
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4000
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Kevin John S Mcdaniel, NP is an acute care nurse practitioner in Loma Linda, CA with 4 years of experience. Kevin John S Mcdaniel, NP NPI is 1447902101. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11234 ANDERSON ST SPC 1617
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-4000

The NPI 1447902101 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2022 and was last updated on 1/24/2022.

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	363LA2100X	Nurse Practitioner	Acute Care	95017545	CALIFORNIA	Yes

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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