Healthcare Provider Details

I. General information

NPI: 1316863582
Provider Name (Legal Business Name): KAYLEE JEANETTE MCCARTY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 18TH ST SE
HICKORY NC
28602-1364
US

IV. Provider business mailing address

2627 ARCHDALE DR
CHARLOTTE NC
28210-0222
US

V. Phone/Fax

Practice location:
  • Phone: 828-327-6633
  • Fax:
Mailing address:
  • Phone: 716-930-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5024739
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: