Basic Information
Provider Information
NPI: 1023114428
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCKEE
FirstName: AMY
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4100 W ST NW
Address2: #417
City: WASHINGTON
State: DC
PostalCode: 200074029
CountryCode: US
TelephoneNumber: 2025381664
FaxNumber:  
Practice Location
Address1: 8600 OLD GEORGETOWN RD
Address2:  
City: BETHESDA
State: MD
PostalCode: 208141422
CountryCode: US
TelephoneNumber: 3018963054
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/15/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PP0204XD0060383MDY Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine

No ID Information.


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