MEDICARE: MONICA G. MCKEEVER MD

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
1	207R00000X	Internal Medicine Physician	C50194	CA

General Provider Information

NPI Number	:	1538135298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA G. MCKEEVER MD

Provider Business Mailing Address
First Line	:	2100 NAPA VALLEJO HWY
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-6293
Country	:	US
Telephone Number	:	707-253-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 NAPA VALLEJO HWY
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-6293
Country	:	US
Telephone Number	:	707-253-5000
Fax Number	:	707-253-5097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	09/13/2018

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