Provider Demographics
NPI:1083323760
Name:MCKAY, ALLISON (RDN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MCKAY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6438 ALLOWAY CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2801
Mailing Address - Country:US
Mailing Address - Phone:703-989-1818
Mailing Address - Fax:
Practice Address - Street 1:6438 ALLOWAY CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2801
Practice Address - Country:US
Practice Address - Phone:703-989-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
837052133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
837052OtherCOMMISSION ON DIETETIC REGISTRATION