Individual
ALEXANDER JOHN MCKEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61135910
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2019
Last updated
06/09/2021
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