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NPI Code Detail

MEDICARE: DR. WENDELL HARRIS MCKAY M.D.

MEDICARE: DR. WENDELL HARRIS MCKAY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianD50871MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316902117
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDELL HARRIS MCKAY M.D.
Provider Business Mailing Address
First Line : 11055 LITTLE PATUXENT PKWY STE 103
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2908
Country : US
Telephone Number : 410-992-9339
Fax Number : 410-964-5150
Provider Business Practice Location Address
First Line : 11055 LITTLE PATUXENT PKWY STE 103
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2908
Country : US
Telephone Number : 410-992-9339
Fax Number : 410-964-5150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 02/10/2026

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