Individual
KAYLA SUE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 CHEYENNE AVE, LAME DEER, MT 59043
(406) 740-1407
Mailing address
PO BOX 70, LAME DEER, MT 59043-0070
(406) 740-1407
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-50880
MT
Other
Enumeration date
09/14/2016
Last updated
05/01/2018
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