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NPI Code Detail

MEDICARE: KRISTI D MCKEE PA-C

MEDICARE: KRISTI D MCKEE PA-C
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
1363A00000XPhysician AssistantPA778OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730188863
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI D MCKEE PA-C
Provider Business Mailing Address
First Line : PO BOX 5038
Second Line :
City : ENID
State : OK
Zip : 73702-5038
Country : US
Telephone Number : 580-548-1367
Fax Number : 580-548-1537
Provider Business Practice Location Address
First Line : 1805 W GARRIOTT RD
Second Line :
City : ENID
State : OK
Zip : 73703-5526
Country : US
Telephone Number : 580-233-9012
Fax Number : 580-249-4269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 10/22/2020

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Directions to “ KRISTI D MCKEE PA-C” Practice Location

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