Mckinley, Russell Lynn

Mckinley, Russell Lynn is an sole proprietor health care provider with primary practice located at 708 Westport Rd Suite 102, Elizabethtown KY 42701-3819. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mckinley, Russell Lynn can be contacted via phone (270) 769-1303.

Contact Information

Primary practice address
708 Westport Rd Suite 102 Elizabethtown KY 42701-3819
Phone: (270) 769-1303
Fax: (270) 769-1310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 280 Kentucky

Profile Details

NPI number 1063410231
LBN Legal business name Mckinley, Russell Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jul 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063410231 NPPES
Kentucky Other 50002169 PASSPORT
Kentucky Other 000000300214 PASSPORT
Kentucky MEDICAID 80000383 PASSPORT
Kentucky Other P00068624 PASSPORT
Kentucky Other 618577 PASSPORT

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