Mckinley, Stephen M

Mckinley, Stephen M is an individual health care provider with primary practice located at 86 Medical Ln , Whitley City KY 42653-4216. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mckinley, Stephen M can be contacted via phone (606) 376-5258.

Contact Information

Primary practice address
86 Medical Ln Whitley City KY 42653-4216
Phone: (606) 376-5258
Fax: (606) 376-2045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2659 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 1676DT Kentucky

Profile Details

NPI number 1902903511
LBN Legal business name Mckinley, Stephen M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Dec 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902903511 NPPES
Other 01177961 AMERIGROUP
MEDICAID 3946892 AMERIGROUP
MEDICAID 7100010460 AMERIGROUP
Other DG5893 AMERIGROUP
MEDICAID 7100209960 AMERIGROUP
MEDICAID 7100212600 AMERIGROUP
Other 4163597 AMERIGROUP
Other 5185 AMERIGROUP
Other PO0760685 AMERIGROUP
Other P00443168 AMERIGROUP
MEDICAID 3946891 AMERIGROUP
MEDICAID 7100209950 AMERIGROUP
MEDICAID 7100210000 AMERIGROUP

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