Mckinney, Susanne S

Mckinney, Susanne S is an individual health care provider with primary practice located at 10461 Wallace Alley St , Kingsport TN 37663-3936. She recently has only one registered license in Nursing Service Providers / Gastroenterology, which is considered as her primary health care specialty. Mckinney, Susanne S can be contacted via phone (423) 279-1400.

Contact Information

Primary practice address
10461 Wallace Alley St Kingsport TN 37663-3936
Phone: (423) 279-1400
Fax: (423) 279-1410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gastroenterology 163WG0100X 5221 Tennessee

Profile Details

NPI number 1497756787
LBN Legal business name Mckinney, Susanne S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 1st, 2015 - about 11 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 1497756787 NPPES
Tennessee MEDICAID 3908885

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