Provider Demographics
NPI:1740855089
Name:MCKAY, CORURTNEY M (BA OF ARTS)
Entity type:Individual
Prefix:
First Name:CORURTNEY
Middle Name:M
Last Name:MCKAY
Suffix:
Gender:F
Credentials:BA OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 SPRING GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3206
Mailing Address - Country:US
Mailing Address - Phone:215-769-3561
Mailing Address - Fax:
Practice Address - Street 1:1235 SPRING GARDEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-3206
Practice Address - Country:US
Practice Address - Phone:215-769-3561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator