Provider Demographics
NPI:1134696131
Name:MCKAY, CHRISTOPHER JON II (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JON
Last Name:MCKAY
Suffix:II
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 DERRY RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3303
Mailing Address - Country:US
Mailing Address - Phone:603-595-8989
Mailing Address - Fax:603-595-7784
Practice Address - Street 1:225 DERRY RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-3303
Practice Address - Country:US
Practice Address - Phone:603-595-8989
Practice Address - Fax:603-595-7784
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-28
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1443363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant