Provider Demographics
NPI:1033691332
Name:MCKINNEY, KATHERINE ELISE (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELISE
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 SWIGART RD
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44203-4730
Mailing Address - Country:US
Mailing Address - Phone:330-807-8879
Mailing Address - Fax:
Practice Address - Street 1:3636 YELLOW CREEK RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-2269
Practice Address - Country:US
Practice Address - Phone:330-778-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023441363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner