Provider Demographics
NPI:1134187818
Name:MCKEE, HEATHER M (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:M
Last Name:MCKEE
Suffix:
Gender:F
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:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38302-0400
Mailing Address - Country:US
Mailing Address - Phone:731-425-5752
Mailing Address - Fax:731-422-5743
Practice Address - Street 1:2863 HIGHWAY 45 BYP
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3618
Practice Address - Country:US
Practice Address - Phone:731-422-0213
Practice Address - Fax:731-660-8336
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30870207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN600127149OtherMULTIPLAN
TN3850890Medicaid
TN3850892Medicaid
TNTN0106OtherAMERICHOICE
TN217852OtherUNISON
TN9159801OtherCIGNA
TN40852OtherTLC
TN4152598OtherBCBS
TN610916101OtherUS DEPT OF LABOR
TN3850891Medicaid
TN4152598OtherBCBS
TN3850891Medicare PIN
H12322Medicare UPIN
TN3850890Medicare PIN