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NPI Code Detail

MEDICARE: MR. KEVIN A. O'NAN PA-C

MEDICARE:  MR. KEVIN A. O'NAN  PA-C
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
1363AM0700XMedical Physician Assistant2926AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821080821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN A. O'NAN PA-C
Provider Business Mailing Address
First Line : 2875 W RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-3524
Country : US
Telephone Number : 480-899-3070
Fax Number :
Provider Business Practice Location Address
First Line : 2875 W RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-3524
Country : US
Telephone Number : 480-899-3070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 11/13/2023

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Directions to “ MR. KEVIN A. O'NAN PA-C” Practice Location

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