Individual
MR. DENNIS PETER MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4293 HIGHWAY 24 27 E STE D, MIDLAND, NC 28107-8500
(704) 888-2380
Mailing address
9601 ASHTON MANOR WAY, WAXHAW, NC 28173-7874
(704) 256-4467
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
219036
NC
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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