Provider Demographics
NPI:1740450873
Name:MCKAY, GEORGE ALBERT (DC, ATC)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:ALBERT
Last Name:MCKAY
Suffix:
Gender:M
Credentials:DC, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CAMP HORNE RD # 210
Mailing Address - Street 2:
Mailing Address - City:EMSWORTH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1627
Mailing Address - Country:US
Mailing Address - Phone:412-535-4841
Mailing Address - Fax:
Practice Address - Street 1:300 CAMP HORNE RD STE 210
Practice Address - Street 2:
Practice Address - City:EMSWORTH
Practice Address - State:PA
Practice Address - Zip Code:15202-1627
Practice Address - Country:US
Practice Address - Phone:412-279-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP400043464Medicare PIN