Healthcare Provider Details

I. General information

NPI: 1558337774
Provider Name (Legal Business Name): BONNIE ANN MCKINSEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BONNIE ANNE BIEBER ARNP

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W 8TH ST
ONAGA KS
66521-9574
US

IV. Provider business mailing address

2103 MEADOWLARK RD
MANHATTAN KS
66502-4556
US

V. Phone/Fax

Practice location:
  • Phone: 785-889-4274
  • Fax: 785-889-4714
Mailing address:
  • Phone: 785-537-1900
  • Fax: 785-537-6240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45775
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-45775
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: