Individual
DR. SUSAN WILLIAMS MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 KRESGE WAY STE P1503, LOUISVILLE, KY 40207-4605
(502) 456-2008
(502) 456-4440
Mailing address
1169 EASTERN PKWY, SUITE G71, LOUISVILLE, KY 40217-1417
(502) 456-2008
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
45033
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
45033
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000818207
ANTHEM
KY
05
—
201167790A
—
IN
01
—
50050822
PASSPORT
KY
05
—
7100244470
—
KY
Enumeration date
04/03/2008
Last updated
12/07/2018
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