IndividualActive
Beitris Mckeon, PA-C
NPI 1457767238 · Surgical Physician Assistant · Derby, CT
Provider details
- NPI number
- 1457767238
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 4491 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
130 Division St
Derby, CT 06418-1326
Phone: (203) 732-1330
Fax: (203) 732-1332
Approximate (ZIP-level) locationGet directions
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Registry dates
- Enumerated
- 2014-07-01
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.