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Individual

THOMAS J MCKEOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
1460 ORANGE ST, COSHOCTON COUNTY MEMORIAL HOSPITAL, COSHOCTON, OH 43812
(918) 543-1020
(918) 543-2103
Mailing address
PO BOX 190, INOLA, OK 74036-0190
(918) 543-1020
(918) 543-2103

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.01197
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0775371
OH
01
430065909
RAILROAD MEDICARE
OH
Enumeration date
03/24/2006
Last updated
02/21/2025
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