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Individual
JENNIFER MCKAY
Active
Individual
JENNIFER MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
5189
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041603
SD BLUE CROSS
SD
05
—
1566000
—
IA
01
—
164K0MC
MN BLUE CROSS BS
MN
05
—
200960900
—
MN
05
—
46022474331
—
NE
01
—
5189
DAKOTACARE
SD
05
—
6004562
—
SD
05
—
6004563
—
SD
05
—
6004564
—
SD
01
—
P00068515
RR MEDICARE
SD
Enumeration date
06/19/2006
Last updated
10/17/2018
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