Individual
MR. BRUCE EDWARD MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4111 WENDELL BLVD, WENDELL, NC 27591-6831
(919) 365-8484
(919) 365-8450
Mailing address
4111 WENDELL BLVD, WENDELL, NC 27591-6831
(919) 365-8484
(919) 365-8450
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10-00068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290159500
—
FL
Enumeration date
06/23/2006
Last updated
01/30/2016
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