Provider Demographics
NPI:1366749889
Name:KEARNEY, MATTHEW LOUIS (PA-C)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:LOUIS
Last Name:KEARNEY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:11110 MEDICAL CAMPUS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6797
Mailing Address - Country:US
Mailing Address - Phone:301-714-4400
Mailing Address - Fax:301-714-4424
Practice Address - Street 1:11110 MEDICAL CAMPUS RD STE 200
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6797
Practice Address - Country:US
Practice Address - Phone:301-714-4400
Practice Address - Fax:301-714-4424
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2019-04-30
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Provider Licenses
StateLicense IDTaxonomies
MDC04440363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical