Brock L. McKay LLC
Organization Active NPI Psychologist · Wichita, KS
NPI 1104984590 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104984590
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 0904 (KS)
- Legal business name
- BROCK L. MCKAY LLC
- Practice address
- 7807 E Funston St
Wichita, KS 67207-3123 - Phone
- (316) 636-1188
- Fax
- (316) 636-1190
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Brock L McKay, PHD
- Title
- Owner
- Phone
- (316) 636-1188
Practitioners 1
-
Brock L McKay, PHD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 0904 | KS | Yes |
Addresses
Primary practice location
7807 E Funston St
Wichita, KS 67207-3123
Mailing address
7807 E Funston St
Wichita, KS 67207-3123
Phone (316) 636-1188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4589 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 063173 | Other | KS | VALUE OPTIONS |
| 118207 | Other | KS | BCBS GROUP |
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.