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
Phone: (573) 581-1812
Fax: (573) 581-1471
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114942273 | NPPES |
Missouri | MEDICAID | 205459308 |
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