Basic Information
| Provider Information | |||||||||
| NPI: | 1245384155 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCKEE | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | CRILE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 BROAD ST | ||||||||
| Address2: | SUITE 209A | ||||||||
| City: | SAN LUIS OBISPO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934016786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055459015 | ||||||||
| FaxNumber: | 8055471395 | ||||||||
| Practice Location | |||||||||
| Address1: | 3000 BROAD ST | ||||||||
| Address2: | SUITE 209A | ||||||||
| City: | SAN LUIS OBISPO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934016786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055459015 | ||||||||
| FaxNumber: | 8055471395 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 12/10/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | MD00038430 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | MD00038430 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 208M00000X | G85886 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RC0200X | G85886 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8254286 | 05 | WA | MEDICAID | 11775376 | 01 | CA | CAQH ID# | OTHER | G85886 | 01 | CA | CA MEDICAL LICENSE | OTHER |