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NPI Code Detail

MEDICARE: KAREN A MCKINNEY FNP

MEDICARE: KAREN A MCKINNEY FNP
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 Practitioner71005129AIN

General Provider Information

NPI Number : 1861891624
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN A MCKINNEY FNP
Provider Business Mailing Address
First Line : 2156 CEDARMILL DR
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-1499
Country : US
Telephone Number : 317-408-4597
Fax Number :
Provider Business Practice Location Address
First Line : 8970 S MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-5031
Country : US
Telephone Number : 317-882-0335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2014
Last Update Date : 08/16/2016

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