Provider Demographics
NPI:1780845735
Name:MCKEOWN, ALEXIS (CPM)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:MCKEOWN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:TOPHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPM
Mailing Address - Street 1:4 BARBARAS WAY
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2279
Mailing Address - Country:US
Mailing Address - Phone:508-889-9165
Mailing Address - Fax:
Practice Address - Street 1:4 BARBARAS WAY
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2279
Practice Address - Country:US
Practice Address - Phone:508-889-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife