Provider Demographics
NPI:1528087020
Name:MCKEEL, CAMERON ROBERTS (PA-C)
Entity type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:ROBERTS
Last Name:MCKEEL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3086
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-3086
Mailing Address - Country:US
Mailing Address - Phone:828-438-8577
Mailing Address - Fax:
Practice Address - Street 1:1027 FLEMING ST
Practice Address - Street 2:STE B
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3573
Practice Address - Country:US
Practice Address - Phone:828-693-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103586363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC017CFOtherBCBS
NC5901372Medicaid
NC017CFOtherBCBS
NCQ20404Medicare UPIN