MRS. CYNTHIA MCKEON PHYSICIAN ASSISTANT NPI 1942240924

NPI Information

NPI: 1942240924
Provider Name: MRS. CYNTHIA MCKEON, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2900 W MIDWAY RD
FORT PIERCE, FL
ZIP 34981
Phone: (772) 467-0961
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MRS. Cynthia Mckeon, PHYSICIAN ASSISTANT is a medical physician assistant in Fort Pierce, FL. MRS. Cynthia Mckeon, PHYSICIAN ASSISTANT NPI is 1942240924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2900 W MIDWAY RD
FORT PIERCE, FL
ZIP 34981-955
Phone: (772) 467-0961
Fax: (772) 467-6683

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9100890	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA9100890	OTHER	FLORIDA	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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