Doctor Name: | MRS. AMELIE P. MCKNEELY |
NPI Number: | 1003984105 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 494 |
Business Practice Address: | 3485 Independence Dr Homewood, AL - 352095603 |
Business Phone Number: | 2059300920 |
Business Fax Number: | 2054450115 |
Mailing Address: | 3485 Independence Dr, HOMEWOOD |
State: | AL |
Postal Code: | 352095603 |
Phone Number: | 2059300920 |
Fax Number: | 2054450115 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |