| NPI | 1801868005 |
|---|---|
| Former Name | PADRAIG CORNELIUS KEARNEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055-0030829) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055-0030968) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2014-11-25 |