Provider Demographics
NPI:1851543755
Name:MCKINNEY, PATRICIA KAY
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:KAY
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:KAY
Other - Last Name:SNEDDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2806 MATTHEW DR
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-7981
Mailing Address - Country:US
Mailing Address - Phone:660-829-6450
Mailing Address - Fax:660-827-8938
Practice Address - Street 1:601 E 15TH ST
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-7665
Practice Address - Country:US
Practice Address - Phone:660-827-8955
Practice Address - Fax:660-827-8957
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist