Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Glenn R McKeon, PA-C

Individual provider Physician Assistant · NPI 1366414724

Mr. Glenn R McKeon, PA-C is a Physician Assistant in Lady Lake, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

607 Highway 466
Lady Lake, FL 32159-6338
Phone: (352) 259-7994
Fax: (352) 259-7992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1759 (FL)

Record details

NPI number1366414724
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESSeptember 11, 2012

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