Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00096500 | NJ |
NPI | 1134185895 |
---|---|
Provider Name | Kevin John Mckee |
First Address | Brick, NJ 08723 |
Second Address | Brick, NJ 08724-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 08/07/2007 |