Healthcare Provider Details

I. General information

NPI: 1972025617
Provider Name (Legal Business Name): BRITTANY RENAE WINN MCKINLEY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 LUCKY STRIKE LOOP
OWENSBORO KY
42303
US

IV. Provider business mailing address

4525 LUCKY STRIKE LOOP
OWENSBORO KY
42303
US

V. Phone/Fax

Practice location:
  • Phone: 270-926-3199
  • Fax: 270-926-3636
Mailing address:
  • Phone: 270-926-3199
  • Fax: 270-926-3636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9934
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: