Stephen M Mckinley in Ferguson - Optometrist

Stephen M Mckinley - NPI 1902903511

Stephen M Mckinley is a Optometrist in Ferguson, Kentucky. Stephen M Mckinley practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen M Mckinley is 1902903511. The last update date is 2019-12-03.

Stephen M Mckinley's current location address is Po Box 306, Ferguson, Kentucky. You can contact this provider via phone number 6064922211 and fax number 6066760873. The mailing address for Stephen M Mckinley is Po Box 306, Ferguson, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen M Mckinley
Address Po Box 306, Ferguson, Kentucky
Phone Number 6064922211
Fax Number 6066760873
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1902903511
Provider Enumeration Date 2006-09-19
Last Updated Date 2019-12-03

Provider Mailing Address Detail

Address Po Box 306
City Ferguson
State Kentucky (KY)
Post Code 425330306
Phone Number 6064922211
Fax Number 6066760873

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2659
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1177961 AMERIGROUP
3946892 TN --
7100010460 KY --
DG5893 KY RAILROAD MEDICARE GROUP # FOR
7100209960 KY --
7100212600 KY --
4163597 TN TENNCARE/BLUECARE/BCBSTN
5185 KY AVESIS/MEDICAID
PO0760685 RAILROAD MEDICARE FOR JELLICO
P00443168 KY RAILROAD MEDICARE(PTAN)

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FAQs about Stephen M Mckinley

What is the Stephen M Mckinley's unique identification number?

The Stephen M Mckinley has been assigned the NPI (National Provider Identifier) Number 1902903511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Stephen M Mckinley is physically located?

The Stephen M Mckinley is physically situated at the following address: Po Box 306, Ferguson, KY, 425330306.

What is Stephen M Mckinley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen M Mckinley's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did Stephen M Mckinley receive its 1902903511 assignment from the Centers for Medicare & Medicaid Services?

The Stephen M Mckinley was assigned its 1902903511 on 2006-09-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Stephen M Mckinley last refreshed?

The information related to the Stephen M Mckinley, including its address, specialty, and other relevant details, was last updated on 2019-12-03.

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