MEDICARE: KEVIN CORNELIUS MCMAHON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		CT
2	2084N0400X	Neurology Physician	Q3049	TX

General Provider Information

NPI Number	:	1124339528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN CORNELIUS MCMAHON M.D.

Provider Business Mailing Address
First Line	:	1215 E COURT ST
Second Line	:	GUADALUPE REGIONAL MEDICAL GROUP
City	:	SEGUIN
State	:	TX
Zip	:	78155-5129
Country	:	US
Telephone Number	:	830-484-4608
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 S. KING STREET
Second Line	:	GRMG NEUROLOGY ASSOCIATES
City	:	SEGUIN
State	:	TX
Zip	:	78155-5126
Country	:	US
Telephone Number	:	830-484-4608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	06/19/2026

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