Provider Demographics
NPI:1831628478
Name:MCKAY, MONICA MARIE (CST)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MARIE
Last Name:MCKAY
Suffix:
Gender:F
Credentials:CST
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:DUBAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DUBAY
Mailing Address - Street 1:17 EXCHANGE ST W STE 622
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1225
Mailing Address - Country:US
Mailing Address - Phone:651-227-9141
Mailing Address - Fax:651-265-6772
Practice Address - Street 1:17 EXCHANGE ST W STE 622
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1225
Practice Address - Country:US
Practice Address - Phone:651-227-9141
Practice Address - Fax:651-265-6772
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant