Individual provider · Type 1 NPI

Ernetta McKim

Medical Physician Assistant · Phoenixville, PA

NPI number 1780718650 Active

Practice location

824 Main St, Suite 100
Phoenixville, PA 19460-4478

Call (610) 933-8484 Map

Mailing address

PO Box 525
Phoenixville, PA 19460-0525

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XUP0004695B (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1780718650

Ernetta McKim's National Provider Identifier is 1780718650, issued on Mar 15, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenixville, PA. The record was last updated on Jul 8, 2007.