Healthcare Provider Details

I. General information

NPI: 1841283363
Provider Name (Legal Business Name): TODD KEVIN MCKEE PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9239 W CENTER RD STE 211
OMAHA NE
68124-1900
US

IV. Provider business mailing address

9239 W CENTER RD STE 211
OMAHA NE
68124-1900
US

V. Phone/Fax

Practice location:
  • Phone: 402-399-9305
  • Fax: 402-397-3191
Mailing address:
  • Phone: 402-399-9305
  • Fax: 402-397-3191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number47408220
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: