Individual
BRENT JAMISON MCKECUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 S HUGHES BLVD, ELIZABETH CITY, NC 27909-4526
(252) 339-1922
Mailing address
112 DANCES BAY RD, ELIZABETH CITY, NC 27909-9172
(252) 339-1922
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NC
Other
Enumeration date
10/16/2023
Last updated
05/21/2024
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