MEDICARE: CHRISTINE M MCKAY APRN FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	209013087	IL
2	363LF0000X	Family Nurse Practitioner	2025011330	MO

General Provider Information

NPI Number	:	1639546062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE M MCKAY APRN FNP-BC

Provider Business Mailing Address
First Line	:	11513 MASTIN ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66210-2966
Country	:	US
Telephone Number	:	708-953-0525
Fax Number	:

Provider Business Practice Location Address
First Line	:	14510 BOTTS RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64147-1302
Country	:	US
Telephone Number	:	816-488-3552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2015
Last Update Date	:	07/24/2025

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