Provider Demographics
NPI:1518566512
Name:MCKINLEY, ABBY M (APRN)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:M
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 N RIDGE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-1406
Mailing Address - Country:US
Mailing Address - Phone:316-768-6444
Mailing Address - Fax:316-719-2406
Practice Address - Street 1:2135 N RIDGE RD STE 400
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-1406
Practice Address - Country:US
Practice Address - Phone:316-768-6444
Practice Address - Fax:316-719-2406
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79886363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily