Provider Demographics
NPI:1699911180
Name:MCKECHNIE, ANN R
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:R
Last Name:MCKECHNIE
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 1:341 RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93924-9539
Mailing Address - Country:US
Mailing Address - Phone:831-915-0231
Mailing Address - Fax:
Practice Address - Street 1:341 RIDGE WAY
Practice Address - Street 2:
Practice Address - City:CARMEL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93924-9539
Practice Address - Country:US
Practice Address - Phone:831-915-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator