Individual
PATRICK MULLEN MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
880 PARK DR, SPRINGFIELD, NE 68059-6845
(402) 253-3079
Mailing address
880 PARK DR, SPRINGFIELD, NE 68059-6845
(402) 253-3079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1142
NE
Other
Enumeration date
09/11/2012
Last updated
01/20/2021
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