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Individual

LARRY OLEN MCKAY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
110 29TH AVE N STE 201, NASHVILLE, TN 37203-1458
(615) 327-4304
Mailing address
1703 GARDHAM LN, GALLATIN, TN 37066-2771

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28830
TN
367500000X
Certified Registered Nurse Anesthetist
95001124
CA

Other

Enumeration date
04/09/2019
Last updated
04/20/2021
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