Organization
WILLIAM MCKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BOYER (OFFICE MANAGER)
(208) 237-1711
Entity
Organization
Contact information
Practice address
4460 CENTRAL WAY, SUITE 2, CHUBBUCK, ID 83202-5095
(208) 237-1711
(208) 237-5192
Mailing address
4460 CENTRAL WAY, SUITE 2, CHUBBUCK, ID 83202-5095
(208) 237-1711
(208) 237-5192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807197600
—
ID
Enumeration date
01/21/2009
Last updated
02/18/2010
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