Individual provider · Type 1 NPI

Kevin Ryan McDonald, P.A.

Medical Physician Assistant · Fairfield, CT

NPI number 1689852410 Active

Practice location

425 Post Rd
Fairfield, CT 06824-6232

Call (203) 259-7442 Map

Mailing address

12 Hunt Ln
Weston, CT 06883-2433

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00159800 (NJ)
Physician Assistant 363A00000XC0003922 (MD)
Medical Physician Assistant 363AM0700XPA18705 (CA)
Medical Physician Assistant 363AM0700X2012007333 (MO)
Medical Physician Assistant Primary 363AM0700X23.002924 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1689852410

Kevin Ryan McDonald, P.A.'s National Provider Identifier is 1689852410, issued on Feb 4, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfield, CT. The record was last updated on Jan 13, 2017.