1598085292 NPI number — MARGARET FAITH MCKEE

Table of content: MARGARET FAITH MCKEE (NPI 1598085292)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598085292 NPI number — MARGARET FAITH MCKEE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCKEE
Provider First Name:
MARGARET
Provider Middle Name:
FAITH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598085292
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 111510
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99511-1510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-903-5973
Provider Business Mailing Address Fax Number:
907-929-6007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6250 BUBBLING BROOK CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99516-1834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-868-5138
Provider Business Practice Location Address Fax Number:
907-929-6007
Provider Enumeration Date:
06/03/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)