Provider Demographics
NPI:1568485498
Name:MCKEOWN, MARGARET ANNE (CNM)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:MCKEOWN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 POYDRAS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-1221
Mailing Address - Country:US
Mailing Address - Phone:504-412-1860
Mailing Address - Fax:
Practice Address - Street 1:HELEN LEVY CLINIC
Practice Address - Street 2:2727 LOUISA STREET, SUITE 7
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126
Practice Address - Country:US
Practice Address - Phone:504-941-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA545536207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
R15295Medicare UPIN
5T367Medicare ID - Type Unspecified