Provider Demographics
NPI:1164752044
Name:MCKEON, KEVIN J (RPH)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:J
Last Name:MCKEON
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:41 MONTVALE AVE
Mailing Address - Street 2:HALLMARK HEALTH CANCER CENTER PHARMACY
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2445
Mailing Address - Country:US
Mailing Address - Phone:781-224-5890
Mailing Address - Fax:781-224-5808
Practice Address - Street 1:41 MONTVALE AVE
Practice Address - Street 2:HALLMARK HEALTH CANCER CENTER PHARMACY
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-2445
Practice Address - Country:US
Practice Address - Phone:781-224-5890
Practice Address - Fax:781-224-5808
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA195051835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology