ELYSSA MARIE MCKINNEY (NPI# 1992963862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992963862 |
| Entity Type | Individual |
| Full Name | ELYSSA MARIE MCKINNEY |
| Credential | DO |
| Practice Address |
640 Wright Ave Bowling Green KY 42103-1623 |
| Practice Telephone | 8596056480 |
| Mailing Telephone | 8596056480 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9543 | KY | Dental Providers |
| Y | 208D00000X | General Practice | 03223 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
640 WRIGHT AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508976192 | Alice Stiles | Social Worker | 640 Wright Ave, Bowling Green, KY 42103-1679 | 2006-08-30 |
| 1871125302 | Lisa R Montgomery | Case Manager/Care Coordinator | 640 Wright Ave, Bowling Green, KY 42103-1623 | 2020-02-12 |
| 1821585217 | Shelby Whitt | Case Manager/Care Coordinator | 640 Wright Ave, Bowling Green, KY 42103-1623 | 2018-04-20 |
| 1710411251 | Caleb Michael Harper | Counselor | 640 Wright Ave, Bowling Green, KY 42103 | 2017-04-11 |
| 1114376407 | Rebecca Kerr | Social Worker | 640 Wright Ave, Bowling Green, KY 42103-1623 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944748 | Zipclinic, PCs | General Practice | 651 Us 31w Byp, Bowling Green, KY 42101-4977 | 2015-10-14 |
| 1477536829 | Lori Ann England-wright | General Practice | 811 Fairview Ave, Bowling Green, KY 42101-4969 | 2005-11-21 |
| 1861873507 | Zipclinic, Psc | General Practice | 2508 Scottsville Rd, Suite 104, Bowling Green, KY 42104-4400 | 2015-06-17 |
| 1922043439 | Raul P Palomado | General Practice | 302 W Main St, Bowling Green, FL 33834-5053 | 2006-06-18 |
| 1710981485 | Maria H Bautista | General Practice | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2005-06-09 |
| 1427051234 | Stanley H.y. Hsieh | General Practice | 1402 Andrea St, Bowling Green, KY 42104-3336 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461171 | Christina Marie Shea Tobbe | General Practice | 1707 Cedar Grove Rd Ste 150, Shepherdsville, KY 40165-8572 | 2020-09-10 |
| 1689214454 | Superior Healthcare Pllc | General Practice | 7560 Us Highway 42 Ste B, Florence, KY 41042-1908 | 2020-01-09 |
| 1144876814 | You Only Live Once Medical | General Practice | 821 Ulrich Ave, Louisville, KY 40219-1844 | 2019-08-17 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| 1649775586 | Landmark Medical of Kentucky, Psc | General Practice | 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 | 2018-03-23 |
| 1639603145 | Charita Weathers | General Practice | 401 East Chestnut, Ste 610, Louisville, KY 40202 | 2017-04-12 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1528519113 | A New Journey | General Practice | 4100 Cadillac Ct, Louisville, KY 40213-1591 | 2016-10-18 |
| 1013381441 | Veloz Medical Services Corp | General Practice | 6911 Shepherdsville Rd, Louisville, KY 40219-2211 | 2015-11-23 |
| 1407229545 | Fern Medical and Rehab Corp | General Practice | 5520 Fern Valley Rd, 107, Louisville, KY 40228-1087 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on ELYSSA MARIE MCKINNEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.