Provider Demographics
NPI:1497216733
Name:MCKEE, KAYLEIGH (OT)
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KAYLEIGH
Other - Middle Name:
Other - Last Name:ODGEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:325 HANSON ST
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89445-3607
Mailing Address - Country:US
Mailing Address - Phone:775-625-2222
Mailing Address - Fax:775-625-1131
Practice Address - Street 1:325 HANSON ST
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445-3607
Practice Address - Country:US
Practice Address - Phone:775-625-2222
Practice Address - Fax:775-625-1131
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVOT-2797225X00000X
WAOT60938364225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist