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Individual

JODY KATHLEEN MCKEE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1100 6TH ST, SUITE 202, CORALVILLE, IA 52241-1755
(319) 337-4566
(319) 337-4766
Mailing address
1100 6TH ST, SUITE 202, CORALVILLE, IA 52241-1755
(319) 337-4566
(319) 337-4766

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001292
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17541
BLUE CROSS BLUE SHIELD
IA
05
2208108
IA
01
391894814-02
TAX ID NUMBER
IA
Enumeration date
01/26/2006
Last updated
07/08/2007
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