KRYSTAL MCKAY NPI 1205845278

NPI Information

NPI: 1205845278
Provider Name: KRYSTAL MCKAY
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
525 PORTLAND AVE
HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 348-9840
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Krystal Mckay is a women's health nurse practitioner in Minneapolis, MN with 22 years of experience. Krystal Mckay NPI is 1205845278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 PORTLAND AVE
HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN
ZIP 55415-533
Phone: (612) 348-9840
Fax: (612) 596-7900

The NPI 1205845278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 4/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	R 138688-8	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6982979	OTHER	MINNESOTA	EVERCARE
2	688G1MC	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
3	07-04525	OTHER	MINNESOTA	MEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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