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General NPI Number Information
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NPI Number | 1306256185
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Entity Type | Individual
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Provider Name | MICHAEL MCKEE MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 444 ROXBURY RD
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City | ROCKFORD
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State | IL
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Zip | 61107-5059
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Country | US
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Telephone | 815-398-3000
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Fax | 815-391-5076
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Provider Business Mailing Address
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Address Line | 444 ROXBURY RD
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City | ROCKFORD
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State | IL
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Zip | 61107-5059
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Country | US
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Telephone | 815-398-3000
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Fax | 815-391-5076
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A183442
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 23484
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036172434
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License Number State | IL
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