Provider Demographics
NPI:1174167092
Name:MCKEE, JUSTINE HARRIS (DO)
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:HARRIS
Last Name:MCKEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 N SECTION ST STE B100
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2649
Mailing Address - Country:US
Mailing Address - Phone:251-279-6497
Mailing Address - Fax:251-279-6498
Practice Address - Street 1:411 N SECTION ST STE B100
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2649
Practice Address - Country:US
Practice Address - Phone:251-279-6497
Practice Address - Fax:251-279-6498
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL.5429R207R00000X
390200000X
ALDO.3068207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program