Individual
MRS. CARLYN ILENE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT CWS
Contact information
Practice address
6818A HIGHWAY 84, FERRIDAY, LA 71334-5101
(318) 757-7575
Mailing address
111 CHERRYBARK LN, NATCHEZ, MS 39120-9377
(601) 442-9494
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
03702
LA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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