NPI | 1710960299 |
---|---|
Other Name | J KEVIN MACKEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G46395) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA G46395) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G46395) | |
Enumeration Date | 2005-11-29 |
Last Update Date | 2016-02-11 |