Individual
STEVEN EDWARD MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
55 LAKE AVE. NORTH, UMASS MEMORIAL MEDICAL CENTER UNIVERSITY CAMPUS, WORCESTER, MA 01655
(508) 334-1000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN278925
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN278925
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084463A
—
MA
Enumeration date
11/05/2009
Last updated
03/21/2022
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