National Provider Identifier
Christian Heather McKeithen, PA
Christian Heather McKeithen, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Ithaca, NY and a listed phone number of (607) 272-7000.
Profile Overview
- NPI
- 1508176280
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- October 15, 2010
- Last Updated
- May 13, 2019
Practice Location
- 16 Brentwood Drive
- Ithaca, NY 14850-1397
Phone: (607) 272-7000
Mailing Address
- 16 Brentwood Drive
- Ithaca, NY 14850
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1508176280
- Entity Type
- Individual
- Last Name
- McKeithen
- First Name
- Christian
- Middle Name
- Heather
- Credential
- PA
- Mailing Street Address
- 16 Brentwood Drive
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 272-7000
- Practice Street Address
- 16 Brentwood Drive
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1397
- Practice Country
- US
- Practice Phone
- (607) 272-7000
- Enumeration Date
- October 15, 2010
- Last Updated
- May 13, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)