Healthcare Provider Details

I. General information

NPI: 1720786510
Provider Name (Legal Business Name): KRISTY L MCKAY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14157 KANE RD
SPRING HILL FL
34609-3074
US

IV. Provider business mailing address

14157 KANE RD
SPRING HILL FL
34609-3074
US

V. Phone/Fax

Practice location:
  • Phone: 352-556-9600
  • Fax:
Mailing address:
  • Phone: 352-556-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberAPRN11024851
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11024851
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: