Provider Demographics
NPI:1588453278
Name:MCKEE, MICHELE DENISE
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:DENISE
Last Name:MCKEE
Suffix:
Gender:
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 5155
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-0155
Mailing Address - Country:US
Mailing Address - Phone:248-904-3032
Mailing Address - Fax:
Practice Address - Street 1:19271 REDFERN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1854
Practice Address - Country:US
Practice Address - Phone:248-904-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health