Basic Information
| Provider Information | |||||||||
| NPI: | 1497484505 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCKEE | ||||||||
| FirstName: | KINDRA | ||||||||
| MiddleName: | DAYE | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 CYPRESS KNEE DR | ||||||||
| Address2: | |||||||||
| City: | CABOT | ||||||||
| State: | AR | ||||||||
| PostalCode: | 720238195 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5015904123 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1010 N CENTER ST | ||||||||
| Address2: | |||||||||
| City: | LONOKE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 720862005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5014388075 | ||||||||
| FaxNumber: | 8708952164 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2022 | ||||||||
| LastUpdateDate: | 07/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0505X | 220352 | AR | N | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine | 363LF0000X | 220352 | AR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.