Mckinney, Susanne S
Mckinney, Susanne S is an individual health care provider with primary practice located at 10461 Wallace Alley St , Kingsport TN 37663-3936. She recently has only one registered license in Nursing Service Providers / Gastroenterology, which is considered as her primary health care specialty. Mckinney, Susanne S can be contacted via phone (423) 279-1400.Contact Information
Primary practice address
10461 Wallace Alley St
Kingsport TN 37663-3936
Phone: (423) 279-1400
Fax: (423) 279-1410
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Gastroenterology | 163WG0100X | 5221 | Tennessee |
Profile Details
NPI number | 1497756787 |
---|---|
LBN Legal business name | Mckinney, Susanne S |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2005 |
Last updated | Oct 1st, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497756787 | NPPES |
Tennessee | MEDICAID | 3908885 |
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