Healthcare Provider Details

I. General information

NPI: 1447249024
Provider Name (Legal Business Name): MEGAN MCKEWAN BS,RNC, OGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RU STATION 6899 ADAMS & TYLER STREETS
RADFORD VA
24142
US

IV. Provider business mailing address

315 MERLINS WAY
CHECK VA
24072-3113
US

V. Phone/Fax

Practice location:
  • Phone: 540-831-6667
  • Fax: 540-831-6638
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number0024056430
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0017000012
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: