Kaitlyn Elisabeth McGhee, RN

Individual provider Active NPI Registered Nurse · Chandler, TX

NPI 1770049983 · NPPES record last updated Apr 19, 2021

Key facts

NPI
1770049983
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1022791 (TX)
Practice address
246 Old Tyler Rd
Chandler, TX 75758-2027
Phone
(903) 707-1948
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1022791TXMDRegistered Nurse
346780TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 346780 TX
Registered Nurse 163W00000X 1022791 TX Yes

Addresses

Primary practice location

246 Old Tyler Rd
Chandler, TX 75758-2027

Mailing address

246 Old Tyler Rd
Chandler, TX 75758-2027
Phone (903) 707-1948

Other providers in Chandler, TX

All providers in Chandler, TX · Registered Nurse in Texas

Sources for this page

Verify at the official NPI Registry.