Provider Demographics
NPI:1902884927
Name:DR WILLIAM J MCKEE DDS
Entity Type:Organization
Organization Name:DR WILLIAM J MCKEE DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-757-4429
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:113 N BROADWAY ST, DR WILLIAM J MCKEE DDS
Mailing Address - City:LACYGNE
Mailing Address - State:KS
Mailing Address - Zip Code:66040
Mailing Address - Country:US
Mailing Address - Phone:913-757-4429
Mailing Address - Fax:913-757-3994
Practice Address - Street 1:113 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LACYGNE
Practice Address - State:KS
Practice Address - Zip Code:66040
Practice Address - Country:US
Practice Address - Phone:913-757-4429
Practice Address - Fax:913-757-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1005726Medicaid
KS08141OtherBCBS OF KS
KS21556012OtherBCBS OF KC