MEDICARE: KRISTEN MCKEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	095037	NY

General Provider Information

NPI Number	:	1215300025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN MCKEE

Provider Business Mailing Address
First Line	:	156 ECKFORD STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222
Country	:	US
Telephone Number	:	917-648-0969
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 ECKFORD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-3218
Country	:	US
Telephone Number	:	917-648-0969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2015
Last Update Date	:	11/03/2015

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Directions to “ KRISTEN MCKEE ” Practice Location

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