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Dr. Patrick James Kearney

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NPI Number Detailed Information

Provider Information:

Name: Dr. Patrick James Kearney
Gender: M
Provider License Number If Given: GFE71799

NPI Information:

NPI: 1972598480
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 101 BODIN CIR
Travis Afb, CA 94535
Phone Number: 7074233987
Fax Number: 7074235356

Provider Business Practice Location Address:

Address: 101 BODIN CIR
Travis Afb, CA 94535
Phone Number: 7074233987
Fax Number: 7074235356

Provider Taxonomy:

Primary: 2083P0011X
Secondary (if any):
State: CA

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