Provider Demographics
NPI:1558199331
Name:MCKEE, PAIGE (MS, RDN)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:COKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1171 E BROADWING LN APT A328
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-7627
Mailing Address - Country:US
Mailing Address - Phone:801-865-5013
Mailing Address - Fax:
Practice Address - Street 1:12 BELLWETHER WAY STE 223
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2914
Practice Address - Country:US
Practice Address - Phone:360-230-8202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics