Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25502 | LA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 25502 | LA |
NPI | 1407843501 |
---|---|
Provider Name | Dr. Kevin P Mccarthy |
First Address | Baton Rouge, LA 70898-9035 |
Second Address | Baton Rouge, LA 70808-4300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 11/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I26213 | (02) |