Individual
MRS. LINDSAY K MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
16605 ALBERTA ST, ONEIDA, TN 37841-6283
(423) 569-9339
(423) 569-1316
Mailing address
PO BOX 306, FERGUSON, KY 42533-0306
(606) 492-2211
(606) 676-0873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1675DT
KY
152W00000X
Optometrist
Primary
2676
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01231198
AMERIGROUP
—
05
—
3946965
—
TN
01
—
4159461
TENNCARE/BLUECARE/BCBSTN
TN
05
—
7100010450
—
KY
05
—
7100212600
—
KY
01
—
PO0735672
RAILROAD MEDICARE FOR ONEIDA
—
Enumeration date
09/19/2006
Last updated
12/03/2019
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