Provider Demographics
NPI:1558337774
Name:MCKINSEY, BONNIE ANN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:ANN
Last Name:MCKINSEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:BONNIE
Other - Middle Name:ANNE
Other - Last Name:BIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2103 MEADOWLARK RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4556
Mailing Address - Country:US
Mailing Address - Phone:785-537-1900
Mailing Address - Fax:785-537-6240
Practice Address - Street 1:2103 MEADOWLARK RD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4556
Practice Address - Country:US
Practice Address - Phone:785-537-1900
Practice Address - Fax:785-537-6240
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily