Individual
MRS. BRENDA SUE MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
137 RIFFLE RD, WEST UNION, OH 45693
(937) 544-7192
(937) 544-7192
Mailing address
137 RIFFLE RD, WEST UNION, OH 45693
(937) 544-7192
(937) 544-7192
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
400096180302
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2519644
PROVIDER NUMBER
OH
Enumeration date
12/13/2006
Last updated
07/08/2007
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