Provider Demographics
NPI:1134356181
Name:MCKAMEY, KEVIN LEE (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:LEE
Last Name:MCKAMEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4498 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:TYASKIN
Mailing Address - State:MD
Mailing Address - Zip Code:21865-2012
Mailing Address - Country:US
Mailing Address - Phone:443-880-7353
Mailing Address - Fax:
Practice Address - Street 1:1340 BELMONT AVE STE 504
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4591
Practice Address - Country:US
Practice Address - Phone:443-880-3830
Practice Address - Fax:443-978-7779
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03664111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty