Provider Demographics
NPI:1336266576
Name:MCKIE, KATI SUZANNE (BS)
Entity Type:Individual
Prefix:MRS
First Name:KATI
Middle Name:SUZANNE
Last Name:MCKIE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MS
Other - First Name:KATI
Other - Middle Name:SUZANNE
Other - Last Name:TOWNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:600 SOUTH 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701
Mailing Address - Country:US
Mailing Address - Phone:402-370-3140
Mailing Address - Fax:402-370-3373
Practice Address - Street 1:600 SOUTH 13TH ST
Practice Address - Street 2:BEHAVIORAL HEALTH SPECIALISTS
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701
Practice Address - Country:US
Practice Address - Phone:402-370-3140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator