Healthcare Provider Details

I. General information

NPI: 1174063101
Provider Name (Legal Business Name): KAREN KAY MCKINNEY LPN, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN KEYSER LOCKHART

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 S THIRD ST. #3
OAKLAND MD
21550
US

IV. Provider business mailing address

12 S THIRD ST. #3
OAKLAND MD
21550
US

V. Phone/Fax

Practice location:
  • Phone: 703-431-5688
  • Fax:
Mailing address:
  • Phone: 703-431-5688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number0002053780
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019004725
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: