Individual
WILLIAM LEWIS MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
108 S HICKORY ST, MOUNT VERNON, MO 65712-1407
(417) 466-4110
(417) 466-4255
Mailing address
108 S HICKORY ST, MOUNT VERNON, MO 65712-1407
(417) 466-4110
(417) 466-4255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5G53
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080033246
RR MEDICARE
—
05
—
1265417331
—
MO
05
—
242356210
—
MO
Enumeration date
12/13/2005
Last updated
08/19/2022
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