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NPI Code Detail

MEDICARE: LANNEY NICOLE MCKINLEY

MEDICARE: LANNEY NICOLE MCKINLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1275497190
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANNEY NICOLE MCKINLEY
Provider Business Mailing Address
First Line : 9201 S I 35 SERVICE RD
Second Line :
City : MOORE
State : OK
Zip : 73160-9046
Country : US
Telephone Number : 405-601-4303
Fax Number :
Provider Business Practice Location Address
First Line : 9201 S I 35 SERVICE RD
Second Line :
City : MOORE
State : OK
Zip : 73160-9046
Country : US
Telephone Number : 405-601-4303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ LANNEY NICOLE MCKINLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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