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Contact Information

PATRICK O MCKEON, PHD, ATC, CSCS
HILL CENTER G66
953 SOUTH DANBY RD.
ITHACA, NY14850
 Phone: 607-274-1455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for PATRICK O MCKEON · (Male)

NPI Number 1306491063
Status Active
Credentials PHD, ATC, CSCS
Entity Individual
Enumeration date 08/08/2019
Last updated 08/08/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 000320
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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