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Individual
ALEXIS A MCKEOWN
Active
Individual
ALEXIS A MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60295566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01099024
RAILROAD MEDICARE PTAN
—
Enumeration date
02/19/2010
Last updated
10/13/2015
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