Kevin Robert Monaghan, PA
Physician Assistant, Surgical in Conway, SC. Individual provider (NPI-1).
NPI number1013223262
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1013223262
- Entity type
- Individual (NPI-1)
- Name
- Kevin Robert Monaghan
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2010
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 3517 | SC | Yes |
| 363A00000X | Physician Assistant | MA054492 | PA |
Practice location
8004 Myrtle Trace DriveSuite 200
Conway, SC 29526-2952
Phone 843-347-8041 · Fax 843-347-8042
Mailing address
300 Singleton Ridge RoadAttention Patient Accounting
Conway, SC 29526-9142
Phone 843-234-6946
Other practice locations
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Other Surgical Physician Assistant providers in Conway, SC
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All 9 Surgical Physician Assistant providers in Conway · All 1,607 providers in Conway
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