William Lewis McKay, DO
Family Medicine in Mount Vernon, MO. Individual provider (NPI-1).
NPI number1265417331
StatusActive
Last updated in NPPESAug 19, 2022
Details
- NPI
- 1265417331
- Entity type
- Individual (NPI-1)
- Name
- William Lewis McKay
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2005
- Certification date
- Aug 17, 2022
- Last updated
- Aug 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | R5G53 | MO | Yes |
Practice location
108 S Hickory StMount Vernon, MO 65712-1407
Phone 417-466-4110 · Fax 417-466-4255
Mailing address
108 S Hickory StMount Vernon, MO 65712-1407
Phone 417-466-4110 · Fax 417-466-4255
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