Individual
CONNIE LYNNE MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 NEW ST, RANDOLPH, NY 14772-1013
(863) 991-5219
Mailing address
19 NEW ST, RANDOLPH, NY 14772-1013
(863) 991-5219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
182481-1
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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