Individual
SAMANTHA KAY MCKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018557
NC
363LA2200X
Adult Health Nurse Practitioner
5018557
NC
363LF0000X
Family Nurse Practitioner
5018557
NC
363LG0600X
Gerontology Nurse Practitioner
501857
NC
Other
Enumeration date
07/31/2023
Last updated
07/06/2025
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