# BROCK L. MCKAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104984590
- **Authorized official:** BROCK L MCKAY PHD (OWNER)
- **Authorized official phone:** (316) 636-1188

## Contact information

- **Practice address:** 7807 E FUNSTON ST, WICHITA, KS 67207-3123
- **Practice address phone:** (316) 636-1188
- **Practice address fax:** (316) 636-1190
- **Mailing address:** 7807 E FUNSTON ST, WICHITA, KS 67207-3123
- **Mailing address phone:** (316) 636-1188
- **Mailing address fax:** (316) 636-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0904 | KS | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 063173 | VALUE OPTIONS | KS |
| 01 | — | 118207 | BCBS GROUP | KS |
| 01 | — | 4589 | PREFERRED HEALTH SYSTEMS | KS |