Individual
NATHAN MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9451 WESTPORT RD STE 122C, LOUISVILLE, KY 40241-2295
(502) 855-7325
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
05349
KY
207R00000X
Internal Medicine Physician
02006869A
IN
207R00000X
Internal Medicine Physician
05349
KY
207RS0010X
Sports Medicine (Internal Medicine) Physician
02006869A
IN
207RS0010X
Sports Medicine (Internal Medicine) Physician
05349
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
02/09/2026
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