Mcmahon, Kevin D

Mcmahon, Kevin D is an individual health care provider with primary practice located at 546 S Broad St , Meriden CT 06450-6600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mcmahon, Kevin D can be contacted via phone (203) 235-2511.

Contact Information

Primary practice address
546 S Broad St Meriden CT 06450-6600
Phone: (203) 235-2511
Fax: (203) 639-0809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 031598 Connecticut

Profile Details

NPI number 1679573729
LBN Legal business name Mcmahon, Kevin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 26th, 2007 - about 18 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 1679573729 NPPES
Connecticut MEDICAID 001315987
Connecticut Other 180014360
Connecticut Other 010031598CT02
Connecticut Other NHS428
Connecticut Other 0R0104
Connecticut Other 031598

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