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NPI Code Detail

MEDICARE: MRS. JANET GARRETT MCKAY LPN

MEDICARE: MRS. JANET GARRETT MCKAY LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse043123235IL

General Provider Information

NPI Number : 1619834215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET GARRETT MCKAY LPN
Provider Business Mailing Address
First Line : 6020 BROADWAY ST
Second Line :
City : QUINCY
State : IL
Zip : 62305-7919
Country : US
Telephone Number : 217-224-3366
Fax Number : 217-221-6190
Provider Business Practice Location Address
First Line : 6020 BROADWAY ST
Second Line :
City : QUINCY
State : IL
Zip : 62305-7919
Country : US
Telephone Number : 217-224-3366
Fax Number : 217-221-6190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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