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Andrew C McKay, ATC, LAT

Specialist/Technologist, Athletic Trainer in Mequon, WI. Individual provider (NPI-1).

NPI number1669908513
StatusActive
Last updated in NPPESDec 27, 2018

Details

NPI
1669908513
Entity type
Individual (NPI-1)
Name
Andrew C McKay
Credential
ATC, LAT
Sex
Male
Sole proprietor
Yes
Enumeration date
May 11, 2017
Last updated
Dec 27, 2018

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 codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2146-39WIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

12800 N Lake Shore Dr
Mequon, WI 53097-2418

Phone 262-243-2057

Mailing address

4093 W Hawthorne Trace Rd Apt 104
Brown Deer, WI 53209-1043

Other practice locations

7630 N 51st St
Brown Deer, WI 53223-4353

Phone 815-245-3873

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Athletic Trainer providers in Mequon, WI

All 43 Athletic Trainer providers in Mequon · All 1,400 providers in Mequon

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