Individual
JOHN WADE MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5981
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23728
KY
207RN0300X
Nephrology Physician
Primary
23728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64237282
—
KY
Enumeration date
07/26/2006
Last updated
02/12/2013
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