Provider Demographics
NPI:1447908512
Name:MCKEE, HOLLY ANN
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ANN
Last Name:MCKEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 BUTADIENO ST
Mailing Address - Street 2:
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-8003
Mailing Address - Country:US
Mailing Address - Phone:979-216-6781
Mailing Address - Fax:
Practice Address - Street 1:209 BUTADIENO ST
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-8003
Practice Address - Country:US
Practice Address - Phone:979-216-6781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle