Healthcare Provider Details

I. General information

NPI: 1639413800
Provider Name (Legal Business Name): STEVEN J MCKEAN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2012
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 FEDERAL ST SECOND FLOOR
PITTSBURGH PA
15212-4769
US

IV. Provider business mailing address

1307 FEDERAL ST SECOND FLOOR
PITTSBURGH PA
15212-4769
US

V. Phone/Fax

Practice location:
  • Phone: 877-660-6777
  • Fax: 412-359-8055
Mailing address:
  • Phone: 877-660-6777
  • Fax: 412-359-8055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA055792
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: