Provider Demographics
NPI:1821348236
Name:MCGEE, KALYN
Entity Type:Individual
Prefix:
First Name:KALYN
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KALYN
Other - Middle Name:
Other - Last Name:DOMBROSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1072 NORMANDY HILL LN
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2238
Mailing Address - Country:US
Mailing Address - Phone:417-342-0223
Mailing Address - Fax:
Practice Address - Street 1:1072 NORMANDY HILL LN
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2238
Practice Address - Country:US
Practice Address - Phone:417-342-0223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10333225200000X
MO2006032141225200000X
CO12635225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant