Provider Demographics
NPI:1669914677
Name:MCCOOL, LINDA SUE (APRN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SUE
Last Name:MCCOOL
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 1:1840 CUMBERLAND FALLS HWY
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2729
Mailing Address - Country:US
Mailing Address - Phone:606-526-4429
Mailing Address - Fax:606-526-8255
Practice Address - Street 1:1840 CUMBERLAND FALLS HWY
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2729
Practice Address - Country:US
Practice Address - Phone:606-526-4429
Practice Address - Fax:606-526-8255
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010674363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health