| Doctor Name: | JUDY ANN PENDELL-MCKEE |
| NPI Number: | 1760469290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNPC |
| License Number: | 330475 |
| Business Practice Address: | 15 Birdsall St Greene, NY - 137781057 |
| Business Phone Number: | 6076564115 |
| Business Fax Number: | 6076569553 |
| Mailing Address: | 346 Grand Ave, JOHNSON CITY |
| State: | NY |
| Postal Code: | 137902580 |
| Phone Number: | 6076564115 |
| Fax Number: | 6076569553 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 01/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 330475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |