Provider Demographics
NPI:1134185895
Name:MCKEE, KEVIN JOHN (MS OTR CHT)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:JOHN
Last Name:MCKEE
Suffix:
Gender:M
Credentials:MS OTR CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 ESSEX PLACE
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723
Mailing Address - Country:US
Mailing Address - Phone:732-920-2913
Mailing Address - Fax:732-840-0559
Practice Address - Street 1:1608 ROUTE 88 WEST
Practice Address - Street 2:SUITE 112
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3009
Practice Address - Country:US
Practice Address - Phone:732-840-8100
Practice Address - Fax:732-840-0559
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00096500225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand