Individual
SEAN D. MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16 WALNUT ST, WILLIMANTIC, CT 06226-2315
(860) 423-2565
Mailing address
16 WALNUT ST, WILLIMANTIC, CT 06226-2315
(860) 423-2565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002414
CT
Other
Enumeration date
10/02/2006
Last updated
04/20/2009
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