Healthcare Provider Details

I. General information

NPI: 1902378375
Provider Name (Legal Business Name): EMILY MCKEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2018
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 7TH ST S
FARGO ND
58103-2704
US

IV. Provider business mailing address

320 6TH ST E
HORACE ND
58047-3603
US

V. Phone/Fax

Practice location:
  • Phone: 701-446-1000
  • Fax:
Mailing address:
  • Phone: 701-219-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: