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NPI Code Detail

MEDICARE: HOLLY ANN MCKEON

MEDICARE:   HOLLY ANN MCKEON
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
1235Z00000XSpeech-Language PathologistSA12358FL

General Provider Information

NPI Number : 1457739054
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY ANN MCKEON
Provider Business Mailing Address
First Line : 3491 S FEDERAL HWY APT A
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-8650
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3491 S FEDERAL HWY APT A
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-8650
Country : US
Telephone Number : 561-542-9846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2015
Last Update Date : 05/14/2015

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Directions to “ HOLLY ANN MCKEON ” Practice Location

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