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Individual

JUDITH A MCKEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
40 CAPRI BLVD, STE 102, LAKE HAVASU CITY, AZ 86403-5661
(928) 855-9477
Mailing address
40 CAPRI BLVD, STE 102, LAKE HAVASU CITY, AZ 86403-5661
(928) 855-9477

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
012144
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
936643
AZ
01
AZ0308020
BCBS AZ
AZ
Enumeration date
04/17/2006
Last updated
03/06/2008
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