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NPI Code Detail

MEDICARE: JASON B MCKEE M.A.

MEDICARE:   JASON B MCKEE  M.A.
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1801209432
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON B MCKEE M.A.
Provider Business Mailing Address
First Line : 2124 VILLAGE DR APT 4
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-1942
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2124 VILLAGE DR APT 4
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-1942
Country : US
Telephone Number : 502-595-7233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2014
Last Update Date : 06/11/2014

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Directions to “ JASON B MCKEE M.A.” Practice Location

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