Individual
KEVIN P MCNEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2302 MADISON ST, CLARKSVILLE, TN 37043-5453
(931) 245-2400
Mailing address
4850 OLD HIGHWAY 13, CUMBERLAND CITY, TN 37050-9546
(931) 302-4570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
1557
TN
Other
Enumeration date
09/24/2007
Last updated
05/28/2014
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