Healthcare Provider Details

I. General information

NPI: 1902367121
Provider Name (Legal Business Name): ZACHARY ALEXANDER MCKEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # S51
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE # S51
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-5050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number35.148563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: