Provider Demographics
NPI:1225087729
Name:MCGANN, KEVIN-SEAN ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:KEVIN-SEAN
Middle Name:ANTHONY
Last Name:MCGANN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WITMER RD STE 220
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2279
Mailing Address - Country:US
Mailing Address - Phone:800-247-8060
Mailing Address - Fax:
Practice Address - Street 1:100 WITMER RD STE 220
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2279
Practice Address - Country:US
Practice Address - Phone:800-247-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB73015207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine