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NPI Code Detail

MEDICARE: EARL RICHARD MCKEE JR.

MEDICARE: EARL RICHARD MCKEE JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1023971157
Entity Type Code : Individual
Provider Name (Legal Business Name) : EARL RICHARD MCKEE JR.
Provider Business Mailing Address
First Line : 8308 OHIO RIVER RD
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-1714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8308 OHIO RIVER RD
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-1714
Country : US
Telephone Number : 740-529-1201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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