Provider Demographics
NPI:1932469723
Name:MCKEE, KRISTI NICOLE (LM)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:NICOLE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9520 GALLINA CT
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-1710
Mailing Address - Country:US
Mailing Address - Phone:805-540-0902
Mailing Address - Fax:805-462-1106
Practice Address - Street 1:4607 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-2758
Practice Address - Country:US
Practice Address - Phone:805-462-1100
Practice Address - Fax:805-462-1106
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM337176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife