| Doctor Name: | MS. BEVERLY SUE MCKEAN |
| NPI Number: | 1043596828 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | RN9257416 |
| Business Practice Address: | 809 Grove Ave Holly Hill, FL - 321173413 |
| Business Phone Number: | 3866755274 |
| Business Fax Number: | |
| Mailing Address: | 809 Grove Ave, HOLLY HILL |
| State: | FL |
| Postal Code: | 321173413 |
| Phone Number: | 3866755274 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2011 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN9257416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |