Provider Demographics
NPI:1174146427
Name:KEVIN L. MCKAMEY MS, DC
Entity type:Organization
Organization Name:KEVIN L. MCKAMEY MS, DC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCKAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:443-880-3830
Mailing Address - Street 1:4498 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:TYASKIN
Mailing Address - State:MD
Mailing Address - Zip Code:21865-2012
Mailing Address - Country:US
Mailing Address - Phone:443-880-3830
Mailing Address - Fax:
Practice Address - Street 1:1340 BELMONT AVE STE 504
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4591
Practice Address - Country:US
Practice Address - Phone:880-443-3830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty