Provider Demographics
NPI:1467526962
Name:MCKAY, ALEXANDRIA M (DO)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:M
Last Name:MCKAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:MICHELLE
Other - Last Name:JORGENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26004 104TH AVE SE #101
Mailing Address - Street 2:KENT MEDICAL CENTER
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7677
Mailing Address - Country:US
Mailing Address - Phone:425-251-4040
Mailing Address - Fax:425-251-4126
Practice Address - Street 1:26004 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7677
Practice Address - Country:US
Practice Address - Phone:425-251-4040
Practice Address - Fax:425-251-4126
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60758787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine