Individual
KARON S MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4305 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-9019
(502) 367-3360
(502) 367-3365
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004089
KY
363LF0000X
Family Nurse Practitioner
3004089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78010683
—
KY
01
—
P01700484
RR MEDICARE
—
Enumeration date
01/26/2006
Last updated
04/13/2018
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