Provider Demographics
NPI:1053191858
Name:MCKEY, MESCHELLE R
Entity type:Individual
Prefix:
First Name:MESCHELLE
Middle Name:R
Last Name:MCKEY
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:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:ND
Mailing Address - Zip Code:58782-0221
Mailing Address - Country:US
Mailing Address - Phone:701-500-4092
Mailing Address - Fax:
Practice Address - Street 1:243 4TH AVE E
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:ND
Practice Address - Zip Code:58782-4020
Practice Address - Country:US
Practice Address - Phone:701-500-4092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide
No385H00000XRespite Care FacilityRespite Care