Individual
DR. PATRICIA MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 LANCER ST STE A, PORTAGE, IN 46368-4491
(219) 762-5506
Mailing address
3204 LANCER ST STE A, PORTAGE, IN 46368-4491
(219) 762-5506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012143A
IN
122300000X
Dentist
DT-2608
HI
1223G0001X
General Practice Dentistry
DN22777
FL
Other
Enumeration date
06/10/2014
Last updated
01/22/2024
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