Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD430408 | PA |
NPI | 1073585303 |
---|---|
Provider Name | Dennis Mckevitt |
First Address | Pittsburgh, PA 15219-5114 |
Second Address | Pittsburgh, PA 15219-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 01/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I26084 | (02) |