| Doctor Name: | MR. KEVIN MCCARTHY |
| NPI Number: | 1093946287 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PA10993 |
| Business Practice Address: | 1 Grand Ave San Luis Obispo, CA - 934070210 |
| Business Phone Number: | 8057561211 |
| Business Fax Number: | |
| Mailing Address: | 1 Grand Ave, SAN LUIS OBISPO |
| State: | CA |
| Postal Code: | 934070210 |
| Phone Number: | 8057561211 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 03/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | PA10993 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |