Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME148018 | FL |
NPI | 1013944586 |
---|---|
Provider Name | Dr. Kevin A Mccracken |
First Address | Miami, FL 33133-4231 |
Second Address | Miami, FL 33133-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 27/01/2022 |