Provider Demographics
NPI:1043014301
Name:MCKEE, ANDREA KAY (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:KAY
Last Name:MCKEE
Suffix:
Gender:
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356110 EAST 930 ROAD
Mailing Address - Street 2:
Mailing Address - City:STROUD
Mailing Address - State:OK
Mailing Address - Zip Code:74079
Mailing Address - Country:US
Mailing Address - Phone:918-968-9531
Mailing Address - Fax:918-968-9057
Practice Address - Street 1:356110 EAST 930 ROAD
Practice Address - Street 2:
Practice Address - City:STROUD
Practice Address - State:OK
Practice Address - Zip Code:74079
Practice Address - Country:US
Practice Address - Phone:918-968-9531
Practice Address - Fax:918-968-9057
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0108698163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse