Individual
MARY RUTH MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED, ATC, LAT
Contact information
Practice address
501 WESTMINSTER AVE, FULTON, MO 65251-1230
(573) 592-5861
Mailing address
501 WESTMINSTER AVE, FULTON, MO 65251-1230
(573) 592-5861
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2017030498
MO
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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