Provider Demographics
NPI:1689087744
Name:MCKINLEY, RACHAIL (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHAIL
Middle Name:
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 YAUGER RD
Mailing Address - Street 2:1-F
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-8097
Mailing Address - Country:US
Mailing Address - Phone:740-397-8500
Mailing Address - Fax:740-397-8527
Practice Address - Street 1:1451 YAUGER RD
Practice Address - Street 2:1-F
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-8097
Practice Address - Country:US
Practice Address - Phone:740-397-8500
Practice Address - Fax:740-397-8527
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15945-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily