| NPI | 1447902101 |
|---|---|
| Former Name | KEVIN JOHN S MCDANIEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95017545) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 433294) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2025-11-26 |