Provider Demographics
NPI:1902863137
Name:MCKEE, FRANK E JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:E
Last Name:MCKEE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10413 WESTGATE ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2267
Mailing Address - Country:US
Mailing Address - Phone:913-888-0155
Mailing Address - Fax:
Practice Address - Street 1:4101 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5014
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-14729207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO05371076OtherBLUE CROSS BLUE SHIELD
MO05371036OtherBLUE CROSS BLUE SHIELD
MOP00355830Medicare PIN
MO0003405Medicare PIN
MOD90215Medicare UPIN
MO05371036OtherBLUE CROSS BLUE SHIELD