Provider Demographics
NPI:1790257368
Name:MCLAUGHLIN, KEVIN R (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:R
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 WINDY RUN RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2373
Mailing Address - Country:US
Mailing Address - Phone:267-885-4811
Mailing Address - Fax:
Practice Address - Street 1:102 PROGRESS DR STE 202
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2516
Practice Address - Country:US
Practice Address - Phone:215-345-8141
Practice Address - Fax:215-345-8173
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAJ011152111NR0400X
PADC011441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation