| NPI | 1669952644 |
|---|---|
| Former Name | BOBBIE JEAN MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1138870) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2018-09-14 |