Individual
DUSTIN KYLE MCKAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-6565
Mailing address
2484 RIVER RD, EUGENE, OR 97404-2042
(541) 222-7627
(541) 222-7612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201904560NP-PP
OR
Other
Enumeration date
06/17/2019
Last updated
11/26/2019
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