Provider Demographics
NPI:1861240392
Name:MCKAY, KARA RONNESSA
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:RONNESSA
Last Name:MCKAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9099
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9079
Mailing Address - Country:US
Mailing Address - Phone:910-485-6336
Mailing Address - Fax:888-972-8390
Practice Address - Street 1:6321 RAEFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2810
Practice Address - Country:US
Practice Address - Phone:910-485-6336
Practice Address - Fax:888-972-8390
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0202201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical