Provider Demographics
NPI:1427342583
Name:MCKEEVER, JEFFREY J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:J
Last Name:MCKEEVER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 LOCUST CT
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-2965
Mailing Address - Country:US
Mailing Address - Phone:270-314-4460
Mailing Address - Fax:270-684-4362
Practice Address - Street 1:5151 FREDERICA ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-7443
Practice Address - Country:US
Practice Address - Phone:270-684-4362
Practice Address - Fax:270-684-4362
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist