Provider Demographics
NPI:1225758311
Name:MCKEE, RUTH EILEEN
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:EILEEN
Last Name:MCKEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7680 E BROADWAY BLVD APT 752
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3418
Mailing Address - Country:US
Mailing Address - Phone:520-301-9979
Mailing Address - Fax:
Practice Address - Street 1:7680 E BROADWAY BLVD APT 752
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3418
Practice Address - Country:US
Practice Address - Phone:520-301-9979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker