Provider Demographics
NPI:1528183183
Name:MCGHEE, KRISTOPHER DAVID
Entity Type:Individual
Prefix:MR
First Name:KRISTOPHER
Middle Name:DAVID
Last Name:MCGHEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16702 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578
Mailing Address - Country:US
Mailing Address - Phone:510-325-0887
Mailing Address - Fax:
Practice Address - Street 1:CG SECTOR SAN FRANCISCO
Practice Address - Street 2:BLDG 1, YERBA BUENA ISLAND
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94130
Practice Address - Country:US
Practice Address - Phone:415-399-3408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other