Healthcare Provider Details

I. General information

NPI: 1164694097
Provider Name (Legal Business Name): BRIAN WILLIAM MCKAIN RN,MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N BELLEFIELD AVE
PITTSBURGH PA
15213-2600
US

IV. Provider business mailing address

3811 OHARA ST
PITTSBURGH PA
15213-2593
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-5609
  • Fax: 412-246-5610
Mailing address:
  • Phone: 412-246-5609
  • Fax: 412-246-5610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN229031L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: