SUSANNE S MCKINNEY N.P.
NPI 1497756787
Registered Nurse - Gastroenterology in Kingsport, TN

Q: What is Susanne Mckinney's NPI number?

The NPI number for Susanne Mckinney is 1497756787. It was assigned to this individual provider in the NPPES registry on August 9, 2005. The provider is also known as Susanne S Bradford N.P..

Q: What is Susanne Mckinney's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gastroenterology, with taxonomy code 163WG0100X.

Q: When was this NPI record last updated?

The NPPES record for Susanne Mckinney was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2005

10461 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 279-1400(423) 279-1410 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susanne S Mckinney N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANNE S MCKINNEY N.P. (NPI 1497756787) is an individual gastroenterology provider in Kingsport, Tennessee, licensed in Tennessee (5221) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1497756787

Entity TypeIndividualFemale

Primary Taxonomy163WG0100X

Provider Legal NameSUSANNE S MCKINNEYCredential: N.P.

Location Address10461 WALLACE ALLEY STKingsport, TN 37663-3936

Mailing Address10461 Wallace Alley StKingsport, TN 37663-3936 · (423) 279-1400 · Fax (423) 279-1410

Phone(423) 279-1400

Fax(423) 279-1410

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateOctober 1, 2015

✔ NPI 1497756787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · GastroenterologyNursing Service Providers

Taxonomy Code163WG0100X

License✔ Licensed in TN · 5221

10461 WALLACE ALLEY ST, Kingsport, TN 37663

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Other Names 1

Former Name (1)Susanne S Bradford N.p.

Other Identifiers 3

Medicare UPINP75841TN

Medicaid3908885TN

Medicare ID-Type Unspecified3908885TN · Medicare

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI-CITIES ENDOSCOPY CENTER PC

Clinic/Center (Ambulatory Surgical)