Individual
DR. PETER PHILIP MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1406 W 5TH ST, STE 303, LONDON, KY 40741-1688
(606) 862-9280
(859) 862-9290
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(859) 313-2758
(859) 276-5939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2005-01855
NC
2086S0102X
Surgical Critical Care Physician
2005-01855
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2005-01855
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
41559
KY
Other
Enumeration date
04/05/2006
Last updated
03/01/2013
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