Provider Demographics
NPI:1356704217
Name:MCKEON, ELIZABETH CHERVENY (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CHERVENY
Last Name:MCKEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:LYNN
Other - Last Name:CHERVENY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10405 MARKWOOD CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6110
Mailing Address - Country:US
Mailing Address - Phone:919-621-5667
Mailing Address - Fax:
Practice Address - Street 1:436 HOSPITAL DR STE 230
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-8096
Practice Address - Country:US
Practice Address - Phone:828-737-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-02458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine