Mckeown, Simon John

Mckeown, Simon John is an individual health care provider with primary practice located at 3626 S Clark St , Mexico MO 65265-4104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mckeown, Simon John can be contacted via phone (573) 581-1812.

Contact Information

Primary practice address
3626 S Clark St Mexico MO 65265-4104
Fax: (573) 581-1471
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2004021597 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2004021597 Missouri

Profile Details

NPI number 1114942273
LBN Legal business name Mckeown, Simon John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114942273 NPPES
Missouri MEDICAID 205459308

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