Hagan, Kevin M

Hagan, Kevin M is an individual health care provider with primary practice located at 1200 Old York Rd 5 Toll, Abington PA 19001-3720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Hagan, Kevin M can be contacted via phone (215) 481-4200.

Contact Information

Primary practice address
1200 Old York Rd 5 Toll Abington PA 19001-3720
Phone: (215) 481-4200
Fax: (215) 881-9587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP008480 Pennsylvania

Profile Details

NPI number 1659347896
LBN Legal business name Hagan, Kevin M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659347896 NPPES
Pw Other 232359401 MAIN LINE HEALTHCARE

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