| NPI | 1962567552 |
|---|---|
| Professional Name | KEVIN GORMLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26nj01447300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 97974) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9468054) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-09-19 |