Individual
LISA SHINTAL MCKEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N 4TH ST, SMITHFIELD, NC 27577-3932
(910) 635-0295
Mailing address
29 VALLEYFIELD DR, CLAYTON, NC 27527-4238
(910) 635-0295
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
A00002710
NC
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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