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Organization
BROCK L. MCKAY LLC
Active
Organization
BROCK L. MCKAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK L MCKAY PHD (OWNER)
(316) 636-1188
Entity
Organization
Contact information
Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190
Mailing address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0904
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063173
VALUE OPTIONS
KS
01
—
118207
BCBS GROUP
KS
01
—
4589
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
12/05/2006
Last updated
08/22/2020
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