Provider Demographics
NPI:1396185468
Name:MCKINLEY, OSCAR (EDE, LCPC)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:MCKINLEY
Suffix:
Gender:M
Credentials:EDE, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14921 W 71ST TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-4010
Mailing Address - Country:US
Mailing Address - Phone:913-268-3476
Mailing Address - Fax:913-268-3476
Practice Address - Street 1:14921 W 71ST TER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-4010
Practice Address - Country:US
Practice Address - Phone:913-268-3476
Practice Address - Fax:888-778-9471
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional