Provider Demographics
NPI:1639448186
Name:MCKINLEY, MERRI CHRISTINA (LPN)
Entity Type:Individual
Prefix:
First Name:MERRI
Middle Name:CHRISTINA
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5081 FARLAWN CT
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45429-5843
Mailing Address - Country:US
Mailing Address - Phone:937-212-5616
Mailing Address - Fax:
Practice Address - Street 1:1304 BLACK FOREST DR
Practice Address - Street 2:APT D
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-5306
Practice Address - Country:US
Practice Address - Phone:937-830-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161174164W00000X
376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No376K00000XNursing Service Related ProvidersNurse's Aide