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NPI Code Detail

MEDICARE: DREW MICHAEL MCKEARNEY

MEDICARE: DREW MICHAEL MCKEARNEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1265387781
Entity Type Code : Individual
Provider Name (Legal Business Name) : DREW MICHAEL MCKEARNEY
Provider Business Mailing Address
First Line : 475 N 5TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2157
Country : US
Telephone Number : 602-827-2002
Fax Number :
Provider Business Practice Location Address
First Line : 475 N 5TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2157
Country : US
Telephone Number : 602-827-2002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ DREW MICHAEL MCKEARNEY ” Practice Location

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