Provider Demographics
NPI:1558008714
Name:MCKEE, MORGAN SHELTON (PA-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:SHELTON
Last Name:MCKEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 W CANNARA WAY
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-4791
Mailing Address - Country:US
Mailing Address - Phone:423-552-8678
Mailing Address - Fax:
Practice Address - Street 1:837 W CANNARA WAY
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-4791
Practice Address - Country:US
Practice Address - Phone:423-552-8678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13618579-1206363AM0700X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant