Provider Demographics
NPI:1609220425
Name:MCKEEL, ZAKEEDRA
Entity Type:Individual
Prefix:
First Name:ZAKEEDRA
Middle Name:
Last Name:MCKEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:FERRIDAY
Mailing Address - State:LA
Mailing Address - Zip Code:71334-3831
Mailing Address - Country:US
Mailing Address - Phone:318-267-7626
Mailing Address - Fax:
Practice Address - Street 1:615 EE WALLACE BLVD S
Practice Address - Street 2:
Practice Address - City:FERRIDAY
Practice Address - State:LA
Practice Address - Zip Code:71334-3224
Practice Address - Country:US
Practice Address - Phone:318-757-9363
Practice Address - Fax:318-757-9364
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator