Provider Demographics
NPI:1871600221
Name:MCKINLEY, KATHRYN ANN (RKT)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ANN
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:RKT
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Mailing Address - Street 1:14900 SULLIVAN RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:TX
Mailing Address - Zip Code:76534-5075
Mailing Address - Country:US
Mailing Address - Phone:254-982-4458
Mailing Address - Fax:254-982-0058
Practice Address - Street 1:1901 S 1ST ST
Practice Address - Street 2:KINESIOTHERAPY 117T
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-743-0618
Practice Address - Fax:254-743-0028
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1279OtherREGISTRATION