Provider Demographics
NPI:1447572326
Name:MCKAY, GAIL (MED)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:
Last Name:MCKAY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6533 LOUGLEN CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-2814
Mailing Address - Country:US
Mailing Address - Phone:704-965-8471
Mailing Address - Fax:
Practice Address - Street 1:6533 LOUGLEN CIR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-2814
Practice Address - Country:US
Practice Address - Phone:704-965-8471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist