Provider Demographics
NPI:1720308430
Name:MCKINLEY, SHAHLINI KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHAHLINI
Middle Name:KAY
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 ARUNDEL LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-1815
Mailing Address - Country:US
Mailing Address - Phone:317-439-9207
Mailing Address - Fax:
Practice Address - Street 1:3140 ARUNDEL LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-1815
Practice Address - Country:US
Practice Address - Phone:317-449-9704
Practice Address - Fax:317-534-3159
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28146540A163WA2000X
IN71012106A363L00000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner