PATRICIA MCKIE

PORTAGE, IN
NPI1447663190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12012143A)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: FL  DN22777)
122300000X Dentist
(Licence: HI  DT-2608)
Enumeration Date2014-06-10
Last Update Date2024-01-22
Business Address
Dr. PATRICIA MCKIE
3204 LANCER ST STE A
PORTAGE, IN 46368-4491
Phone number: 219-762-5506
Mailing Address
Dr. PATRICIA MCKIE
3204 LANCER ST STE A
PORTAGE, IN 46368-4491
Phone number: 219-762-5506