Healthcare Provider Details

I. General information

NPI: 1316902117
Provider Name (Legal Business Name): WENDELL HARRIS MCKAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11055 LITTLE PATUXENT PKWY STE 103
COLUMBIA MD
21044-2908
US

IV. Provider business mailing address

11055 LITTLE PATUXENT PKWY STE 103
COLUMBIA MD
21044-2908
US

V. Phone/Fax

Practice location:
  • Phone: 410-992-9339
  • Fax: 410-964-5150
Mailing address:
  • Phone: 410-992-9339
  • Fax: 410-964-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD50871
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: