Active NPIIndividual provider

Jacquelyn R Mckean, MD

Family Medicine in Athol, Massachusetts

NPI Number1356352413
Practice location
81 Reservoir Dr, Athol, MA 01331-4901
Fax
—
Last updated
January 30, 2020

Jacquelyn R Mckean is a Family Medicine based in Athol, MA. Jacquelyn R Mckean practices in Athol, MA and has the professional credentials of MD. The NPI Number for Jacquelyn R Mckean is 1356352413 and holds a License No. 206096 (MA). The current practice location address for Jacquelyn R Mckean is 81 Reservoir Dr, Athol, MA 01331-4901 and can be reached out via phone at 978-248-5135.

Provider Profile Details

NPI Number
1356352413
Provider Name
Jacquelyn R Mckean
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
81 Reservoir Dr, Athol, MA 01331-4901
Phone Number
978-248-5135
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2006
Last Update Date
January 30, 2020
Certification Date
January 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Reservoir Dr
Athol, MA 01331-4901
City
Athol
Zip
01331-4901
Phone Number
978-248-5135
Athol, MA 01331Get directions →

Provider Business Mailing Address Details

Address
26 Queen St
Medical
Worcester, MA 01610-2473
City
Worcester
State
MA
Zip
01610-2473
Phone Number
508-860-7700
Fax Number
508-860-7990

License Information

License Number
206096
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Athol, MA

View all Family Medicine providers in Athol →

Frequently Asked Questions

What is the NPI number of Jacquelyn R Mckean, MD?

The NPI number of Jacquelyn R Mckean, MD is 1356352413. It was assigned on August 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Jacquelyn R Mckean, MD?

Jacquelyn R Mckean, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 206096.

Where does Jacquelyn R Mckean, MD practice?

The practice location is 81 Reservoir Dr, Athol, MA 01331-4901. The office can be reached at 978-248-5135 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356352413 directly on the NPPES registry website.

Browse related providers