Brock L. McKay LLC
Psychologist in Wichita, KS. Organization (NPI-2).
NPI number1104984590
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104984590
- Entity type
- Organization (NPI-2)
- Legal business name
- Brock L. McKay LLC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 0904 | KS | Yes |
Practice location
7807 E Funston StWichita, KS 67207-3123
Phone 316-636-1188 · Fax 316-636-1190
Mailing address
7807 E Funston StWichita, KS 67207-3123
Phone 316-636-1188 · Fax 316-636-1190
Authorized official
Brock L McKay
Owner
3166361188
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