Individual
ROBERT C. MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4956 AUTUMN OAKS DR, MARYVILLE, IL 62062-8559
(618) 288-1548
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036078827
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078827003
—
IL
Enumeration date
10/25/2006
Last updated
01/17/2013
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