Mackenzie Lynn Dunaway, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Greenup, KY
NPI 1497560486 · NPPES record last updated Feb 8, 2025
Key facts
- NPI
- 1497560486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4024784 (KY)
- Practice address
- 139 Hillside Dr
Greenup, KY 41144-1296 - Phone
- (606) 465-5166
- NPI assigned
- Feb 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4024784 | KY | MD | Family Nurse Practitioner |
| 120529 | WV | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120529 | WV | |
| Family Nurse Practitioner | 363LF0000X | 4024784 | KY | Yes |
Addresses
Primary practice location
139 Hillside Dr
Greenup, KY 41144-1296
Mailing address
139 Hillside Dr
Greenup, KY 41144-1296
Phone (606) 465-5166
Other providers in Greenup, KY
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- Britta Danner
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- Stacy Dowdy
- Lexie Dunford
- Dylan Howe DC LLC
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- Family Medical Care Inc
- Jacqueline Farris
All providers in Greenup, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2025. 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.