Basic Information
| Provider Information | |||||||||
| NPI: | 1033533427 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCKEE | ||||||||
| FirstName: | KRISTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 COMMERCE DRIVE | ||||||||
| Address2: | |||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146372063 | ||||||||
| FaxNumber: | 9143656307 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 EAST MICHIGAN AVE | ||||||||
| Address2: | MERCY HOSPITAL- GRAYLING | ||||||||
| City: | GRAYLING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9893485461 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2014 | ||||||||
| LastUpdateDate: | 05/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | L2445534 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.