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Individual

AMY KOONTZ MCKEOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
65 MECHANIC ST, STE 105, RED BANK, NJ 07701-1852
(732) 455-8640
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15030900
NJ
363LA2200X
Adult Health Nurse Practitioner
308187
NY

Other

Enumeration date
02/14/2012
Last updated
08/14/2024
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