Most Relevant Information
Provider Data
| NPI Number: | 1003213075 |
| Provider Name: | KAYESHA MARCELLE MCKINNEY BHPP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/19/2014 |
| Last Updated: | 11/19/2014 |
Provider Practice Location
9428 W HIGHLAND AVE
PHOENIX
AZ
850371015
Practice Location Phone/Fax
| Phone: | 6028082800 |
| Fax: |
Provider Mailing Location
202 E EARLL DR
SUITE 200
PHOENIX
AZ
850122647
Provider Mailing Phone/Fax
| Phone: | 6025995404 |
| Fax: | 6025995704 |