Glenn R Mckeon in Lady Lake - Physician Assistant
Glenn R Mckeon - NPI 1366414724
Glenn R Mckeon is a Physician Assistant in Lady Lake, Florida. Glenn R Mckeon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Glenn R Mckeon is 1366414724. The last update date is 2012-09-11.
Glenn R Mckeon's current location address is Po Box 1777, Lady Lake, Florida. You can contact this provider via phone number 3522597994 and fax number 3522597992. The mailing address for Glenn R Mckeon is Po Box 1777, Lady Lake, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn R Mckeon |
|---|---|
| Address | Po Box 1777, Lady Lake, Florida |
| Phone Number | 3522597994 |
| Fax Number | 3522597992 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366414724 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
| Address | Po Box 1777 |
|---|---|
| City | Lady Lake |
| State | Florida (FL) |
| Post Code | 321581777 |
| Phone Number | 3522597994 |
| Fax Number | 3522597992 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1759 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Glenn R Mckeon by the Centers for Medicare & Medicaid Services?
The Glenn R Mckeon has been assigned the NPI (National Provider Identifier) 1366414724 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Glenn R Mckeon's facilities are situated?
The facilities of Glenn R Mckeon are physically located at the following address: Po Box 1777, Lady Lake, FL, 321581777.
What is the Glenn R Mckeon's area of specialization and corresponding taxonomy classification?
The Glenn R Mckeon's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Glenn R Mckeon receive its 1366414724 assignment from the Centers for Medicare & Medicaid Services?
The Glenn R Mckeon was assigned its 1366414724 on 2006-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Glenn R Mckeon most recently updated or revised?
The information pertaining to Glenn R Mckeon, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-11.