Individual
NICOLA MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 02398F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F9746
BLUE CROSS BLUE SHEILD
LA
Enumeration date
07/13/2005
Last updated
08/29/2008
Update your record
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