Individual
MR. DANIEL JOSEPH MCKIEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1523 22ND AVE STE B, MERIDIAN, MS 39301-4016
(601) 483-0039
(601) 485-7240
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13486
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
13486
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111934
—
MS
01
—
73069282
BLUE CROSS OF ALABAMA
MS
Enumeration date
09/06/2006
Last updated
01/28/2025
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