| Doctor Name: | MRS. MICHELLE MCKEEHAN |
| NPI Number: | 1023026481 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 155501 |
| Business Practice Address: | 1180 Beacon Street Suite 1a B Brookline, MA - 02446 |
| Business Phone Number: | 6172781700 |
| Business Fax Number: | 6177349414 |
| Mailing Address: | 1180 Beacon St, Suite 1a B BROOKLINE |
| State: | MA |
| Postal Code: | 024463885 |
| Phone Number: | 6172781700 |
| Fax Number: | 6177349414 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 08/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 155501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |