Provider Demographics
NPI:1265738801
Name:MCCABE, KEVIN (DO)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:MCCABE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2600 W 9TH ST
Mailing Address - Street 2:2 NORTH
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2040
Mailing Address - Country:US
Mailing Address - Phone:610-485-3800
Mailing Address - Fax:610-485-4221
Practice Address - Street 1:744 E LINCOLN HWY
Practice Address - Street 2:SUITE 110
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3590
Practice Address - Country:US
Practice Address - Phone:610-380-4660
Practice Address - Fax:610-380-4664
Is Sole Proprietor?:No
Enumeration Date:2011-01-30
Last Update Date:2013-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS015775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine