Individual
MARIAN MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP, PMHCNS
Contact information
Practice address
2301 GOLDSMITH LN, LOUISVILLE, KY 40218-1018
(502) 458-1171
(502) 479-9868
Mailing address
5402 HUBBARDS CT, LOUISVILLE, KY 40207-2130
(502) 548-1677
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003047
KY
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
3003047
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100294520
—
KY
Enumeration date
07/14/2006
Last updated
08/06/2019
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