Individual
MRS. JENNIFER P MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2949 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1408
(502) 446-5555
(502) 394-3670
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007713
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12453444
CAQH
—
05
—
7100226370
—
KY
Enumeration date
10/17/2012
Last updated
02/26/2024
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