Brynn Nicole McKeon, PA-C
Physician Assistant, Medical in Monticello, NY. Individual provider (NPI-1).
NPI number1669929899
StatusActive
Last updated in NPPESSep 7, 2022
Details
- NPI
- 1669929899
- Entity type
- Individual (NPI-1)
- Name
- Brynn Nicole McKeon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2016
- Certification date
- Sep 7, 2022
- Last updated
- Sep 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 020076 | NY | Yes |
Other names
- Brynn Nicole Bertholf (Former Name)
Practice location
38 Concord RdMonticello, NY 12701-3210
Phone 845-333-6500 · Fax 845-333-6501
Mailing address
38 Concord RdMonticello, NY 12701-3210
Phone 845-333-6500 · Fax 845-333-6501
Other practice locations
1522 State Route 17b
White Lake, NY 12786-5428
White Lake, NY 12786-5428
Phone 845-333-6600 · Fax 845-583-8084
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