Provider Demographics
NPI:1689856338
Name:MCKEE, MICHELE JEANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:JEANNE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BAYVIEW DRIVE
Mailing Address - Street 2:PO BOX 414
Mailing Address - City:WESTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11977
Mailing Address - Country:US
Mailing Address - Phone:631-219-7984
Mailing Address - Fax:
Practice Address - Street 1:10 BAYVIEW DR
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11977-1403
Practice Address - Country:US
Practice Address - Phone:631-219-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY515874-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse