Provider Demographics
NPI:1457688467
Name:MCKINNEY, KAY H (PCC)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:H
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 BRUCE DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5902
Mailing Address - Country:US
Mailing Address - Phone:513-738-0695
Mailing Address - Fax:
Practice Address - Street 1:7770 COOPER RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7744
Practice Address - Country:US
Practice Address - Phone:513-489-1171
Practice Address - Fax:513-489-6036
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0007621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional