| Doctor Name: | MICHELE L MCKAY |
| NPI Number: | 1245223692 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC |
| License Number: | 617280 |
| Business Practice Address: | 2306 Rr620 South Lakeway, TX - 78734 |
| Business Phone Number: | 5122636000 |
| Business Fax Number: | |
| Mailing Address: | 333 Washington Ave N, Suite 5000 MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554011377 |
| Phone Number: | 6126597111 |
| Fax Number: | 6126597101 |
| NPI Enumeration Date: | 08/31/2005 |
| NPI Last Update Date: | 08/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 617280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |