Provider Demographics
NPI:1013202506
Name:MCKINLEY, KARY G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARY
Middle Name:G
Last Name:MCKINLEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 STATE ROAD 26 E
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-4807
Mailing Address - Country:US
Mailing Address - Phone:765-447-4411
Mailing Address - Fax:
Practice Address - Street 1:3630 STATE ROAD 26 E
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4807
Practice Address - Country:US
Practice Address - Phone:765-447-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021699A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist