Provider Demographics
NPI:1285820571
Name:MCKINNEY, SARA G (MS)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:G
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3844 SUGARBERRY DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-8129
Mailing Address - Country:US
Mailing Address - Phone:859-586-4747
Mailing Address - Fax:
Practice Address - Street 1:3844 SUGARBERRY DR
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-8129
Practice Address - Country:US
Practice Address - Phone:859-586-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator