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NPI Code Detail

MEDICARE: MS. PAMELA SUE MCKEE CNP

MEDICARE: MS. PAMELA SUE MCKEE CNP
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
1163W00000XRegistered NurseRN301430OH
2363LF0000XFamily Nurse Practitioner14440-NPOH

General Provider Information

NPI Number : 1427480821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA SUE MCKEE CNP
Provider Business Mailing Address
First Line : 2525 13TH ST NW
Second Line : SUITE 102
City : CANTON
State : OH
Zip : 44708-3118
Country : US
Telephone Number : 330-438-1701
Fax Number : 330-438-1704
Provider Business Practice Location Address
First Line : 2525 13TH ST NW
Second Line : SUITE 102
City : CANTON
State : OH
Zip : 44708-3118
Country : US
Telephone Number : 330-438-1701
Fax Number : 330-438-1704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2013
Last Update Date : 08/07/2013

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