Individual
LEANNE MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
925 CHESTNUT ST, FIFTH FLOOR, PHILADELPHIA, PA 19107-4216
(267) 339-3500
(215) 503-0580
Mailing address
925 CHESTNUT ST, FIFTH FLOOR, PHILADELPHIA, PA 19107-4216
(267) 339-3500
(215) 503-0580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00079800
NJ
2255A2300X
Athletic Trainer
RT001968A
PA
363A00000X
Physician Assistant
Primary
25MP00445800
NJ
Other
Enumeration date
10/23/2013
Last updated
11/24/2023
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