Katherine A. McKenney, CRNP
Individual provider Active NPI Family Nurse Practitioner · Lavale, MD
NPI 1295778207 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1295778207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 353420-22 (MD)
- Practice address
- 1313 National Hwy
Lavale, MD 21502-7618 - Phone
- (240) 362-0288
- Fax
- (240) 362-0052
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353420-22 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 353420-22 | MD | Yes |
Addresses
Primary practice location
1313 National Hwy
Lavale, MD 21502-7618
Mailing address
1313 National Hwy
Lavale, MD 21502-7618
Phone (240) 362-0288
Other providers in Lavale, MD
- Nicol Lynn Lyon
- Mark Stephan Mallonee Jr.
- Maryland CVS Pharmacy LLC
- Faye Marie McAllister
- Carrie B McDonald
- Kevin M McKenzie
- Medexpress Urgent Care, PC - Maryland
- Mountainview Wellness Center LLC
- Alexandra Elizabeth Murray
- Myeyedr Optometry of Maryland, LLC
All providers in Lavale, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.