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General NPI Number Information
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NPI Number | 1194798587
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Entity Type | Individual
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Provider Name | ANN C MCKEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 SPRINGS ROAD 182-B
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City | BEDFORD
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State | MA
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Zip | 01730
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Country | US
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Telephone | 781-687-2913
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Fax | 781-687-3515
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Provider Business Mailing Address
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Address Line | 175 GLEZEN LN
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City | WAYLAND
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State | MA
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Zip | 01778-1508
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Country | US
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Telephone | 781-687-2913
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | 56282
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License Number State | MA
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