Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 18388 | IA |
NPI | 1043665292 |
---|---|
Provider Name | Dr. John Mckeown |
First Address | Ankeny, IA 50023-8736 |
Second Address | Ankeny, IA 50023-8736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 25/04/2016 |