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NPI Code Detail

MEDICARE: MS. LORI E. MCKINSEY F.N.P. - C

MEDICARE: MS. LORI E. MCKINSEY F.N.P. - C
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
1363LF0000XFamily Nurse Practitioner16935.0275WY

General Provider Information

NPI Number : 1730186255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI E. MCKINSEY F.N.P. - C
Provider Business Mailing Address
First Line : 469 HIGHWAY 50
Second Line :
City : GILLETTE
State : WY
Zip : 82718-9330
Country : US
Telephone Number : 307-387-9850
Fax Number : 307-387-9890
Provider Business Practice Location Address
First Line : 469 HIGHWAY 50
Second Line :
City : GILLETTE
State : WY
Zip : 82718-9330
Country : US
Telephone Number : 307-387-9850
Fax Number : 307-387-9890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 05/11/2023

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