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Individual

DR. STEPHEN M MCKINLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
86 MEDICAL LN, WHITLEY CITY, KY 42653-4216
(606) 376-5258
(606) 376-2045
Mailing address
PO BOX 306, FERGUSON, KY 42533-0306
(606) 492-2211
(606) 676-0873

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1676DT
KY
152W00000X
Optometrist
2659
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01177961
AMERIGROUP
05
3946891
TN
05
3946892
TN
01
4163597
TENNCARE/BLUECARE/BCBSTN
TN
01
5185
AVESIS/MEDICAID
KY
05
7100010460
KY
05
7100209950
KY
05
7100209960
KY
05
7100210000
KY
05
7100212600
KY
01
DG5893
RAILROAD MEDICARE GROUP # FOR WILLIAMSBURG
KY
01
P00443168
RAILROAD MEDICARE(PTAN)
KY
01
PO0760685
RAILROAD MEDICARE FOR JELLICO
Enumeration date
09/19/2006
Last updated
05/11/2026
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