Healthcare Provider Details

I. General information

NPI: 1427518042
Provider Name (Legal Business Name): KEVIN R MCMAHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST STE 115
AKRON OH
44304-1466
US

IV. Provider business mailing address

95 ARCH ST STE 115
AKRON OH
44304-1466
US

V. Phone/Fax

Practice location:
  • Phone: 330-703-7252
  • Fax:
Mailing address:
  • Phone: 330-434-5978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number35.153463
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.153463
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: