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NPI Code Detail

MEDICARE: JAMES WILLIAM MCKEY D.C.

MEDICARE: JAMES WILLIAM MCKEY D.C.
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
1111N00000XChiropractor2596OH

General Provider Information

NPI Number : 1396968590
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WILLIAM MCKEY D.C.
Provider Business Mailing Address
First Line : 4505 MOGADORE RD
Second Line :
City : KENT
State : OH
Zip : 44240-7251
Country : US
Telephone Number : 330-678-0132
Fax Number :
Provider Business Practice Location Address
First Line : 520 YOUNGSTOWN POLAND RD
Second Line :
City : STRUTHERS
State : OH
Zip : 44471-1103
Country : US
Telephone Number : 330-755-1199
Fax Number : 330-755-1299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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