Individual
ALEXANDRA MARIA MCKANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
102 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3916
(865) 457-4702
(865) 374-2115
Mailing address
102 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3916
(865) 457-4702
(865) 374-2115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4779
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q076719
—
TN
Enumeration date
05/05/2019
Last updated
09/19/2022
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