Individual
MS. ANDREA L MCKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCADC
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 530-2438
Mailing address
40 HERITAGE DR, HOWELL, NJ 07731-2968
(732) 942-3602
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
37LC00103200
NJ
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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