Doctor Name: | MICHAEL MCEVOY |
NPI Number: | 1063880995 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 15-01816 |
Business Practice Address: | 1823 College Ave Manhattan, KS - 665023381 |
Business Phone Number: | 7857762880 |
Business Fax Number: | 7855654754 |
Mailing Address: | 1823 College Ave, MANHATTAN |
State: | KS |
Postal Code: | 665023381 |
Phone Number: | 7857762880 |
Fax Number: | 7855654754 |
NPI Enumeration Date: | 09/09/2015 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 15-01816 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |