Individual
MRS. AMY LOUISE MCKINLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
147 W CHUBBUCK RD, CHUBBUCK, ID 83202-2314
(208) 238-7546
(208) 237-9643
Mailing address
255 S 20TH AVE, POCATELLO, ID 83201-3337
(208) 317-2513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-563
ID
Other
Enumeration date
08/10/2006
Last updated
12/16/2015
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