Provider Demographics
NPI:1083615538
Name:MCKEE, MELINDA A (DC)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:A
Last Name:MCKEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:A
Other - Last Name:SPRINGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:18 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-1111
Mailing Address - Country:US
Mailing Address - Phone:570-546-2345
Mailing Address - Fax:570-546-2345
Practice Address - Street 1:18 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-1111
Practice Address - Country:US
Practice Address - Phone:570-546-2345
Practice Address - Fax:570-546-2345
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006249L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1540705Medicaid
PA1540705Medicaid
SP794211Medicare ID - Type Unspecified