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KEVIN GILL PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700988896

Individual Registrant:
 KEVIN  GILL PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
VAMC TOGUS 1 VA CENTER TOGUS, ME 04330 US
Tel: 207-623-8411  Fax: --

Contact information for business:
VAMC TOGUS 1 VA CENTER TOGUS, ME 04330 US
Tel: 207-623-8411  Fax: --

Registration Information:
NPI: 1700988896
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
MEPA-721

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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