Individual
DR. JACOB PETER MCKEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0053074
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026143
KAISER COMMERCIAL NUMBER
CO
05
—
67605532
—
CO
Enumeration date
03/22/2012
Last updated
03/24/2021
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