Healthcare Provider Details

I. General information

NPI: 1174167092
Provider Name (Legal Business Name): JUSTINE HARRIS MCKEE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 N SECTION ST STE B100
FAIRHOPE AL
36532-2649
US

IV. Provider business mailing address

411 N SECTION ST STE B100
FAIRHOPE AL
36532-2649
US

V. Phone/Fax

Practice location:
  • Phone: 251-279-6497
  • Fax: 251-279-6498
Mailing address:
  • Phone: 251-279-6497
  • Fax: 251-279-6498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO.3068
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberL.5429R
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: