Kevin J O'Regan, PA-C
Physician Assistant, Medical in Lebanon, NH. Individual provider (NPI-1).
NPI number1700969151
StatusActive
Last updated in NPPESApr 2, 2021
Details
- NPI
- 1700969151
- Entity type
- Individual (NPI-1)
- Name
- Kevin J O'Regan
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2006
- Certification date
- Apr 2, 2021
- Last updated
- Apr 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 1701 | NH | Yes |
| 363AM0700X | Physician Assistant, Medical | OA002746 | PA |
Practice location
1 Medical DrLebanon, NH 03756-1000
Phone 603-650-5724
Mailing address
1 Medical DrLebanon, NH 03756-1000
Phone 603-650-5724
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