Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D84940 | MD |
N | 207XS0106X | Orthopaedic Hand Surgeon | 0101051299 | VA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | D84940 | MD |
NPI | 1194795294 |
---|---|
Provider Name | Patricia Lee Mckay |
First Address | Hagerstown, MD 21740-6474 |
Second Address | Hagerstown, MD 21740-6474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 10/06/2021 |