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General NPI Number Information
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NPI Number | 1982752184
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Entity Type | Individual
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Provider Name | KIM LOUISE MCKAY ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 601 BROOKER CREEK BLVD
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City | OLDSMAR
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State | FL
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Zip | 34677-2962
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Country | US
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Telephone | 813-818-3300
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Fax | 813-818-3220
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Provider Business Mailing Address
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Address Line | 13242 NORMAN CIR
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City | HUDSON
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State | FL
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Zip | 34669-2452
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Country | US
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Telephone | 727-514-5554
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Fax | 727-856-8898
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP2024852
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License Number State | FL
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