Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN R MCKEON, PA-C
Active Sole ProprietorMR. GLENN R MCKEON, PA-C is a Physician Assistant healthcare provider located in LADY LAKE, Florida. NPI 1366414724 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LADY LAKE, FL
Registration Details
- NPI Number
- 1366414724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2006 (20.512806369831 yrs)
- Last Updated
- Sep 11, 2012
- License
-
PA1759 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
607 HIGHWAY 466LADY LAKE, FL, 321596338Browse FL providers · Browse ZIP 32159
- Phone
- 3522597994
- Fax
- 3522597992
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LADY LAKE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL ANDREW HUMPHREY | PA | 1164526737 |
| MICHAEL ALAN GREEN | PA-C | 1730257981 |
| MR. ADRIAN JAMES EASTERLING | PA-C | 1275685158 |
| MR. ALOYSIUS T BISONG JR. | PA | 1124294947 |
| JANICE GALLIMORE | PA-C | 1336415256 |
| CHELSIE LEIGH LUCAS | PA-C | 1548773435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.