Provider Demographics
NPI:1629247747
Name:MCKAY, KRISTOPHER MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:MICHAEL
Last Name:MCKAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KRIS
Other - Middle Name:
Other - Last Name:MCKAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2000 LAKE PARK DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-7611
Mailing Address - Country:US
Mailing Address - Phone:678-556-9411
Mailing Address - Fax:678-556-9413
Practice Address - Street 1:2000 LAKE PARK DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-7611
Practice Address - Country:US
Practice Address - Phone:678-556-9411
Practice Address - Fax:678-556-9413
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.31658207ZD0900X, 207ZP0101X
ARE-6446207ZD0900X, 207ZP0101X
GA70639207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology