Individual
DR. JOHN W MCKEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 LEVERT AVE, DIAMOND SPRINGS, CA 95619-9738
(530) 626-5018
(530) 626-1791
Mailing address
4411 LEVERT AVE, DIAMOND SPRINGS, CA 95619-9738
(530) 626-5018
(530) 626-1791
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A18205
CA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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