MCKINLEY BOATNER PA
NPI 1508840695
Physician Assistant - Medical in Oklahoma City, OK

Active since December 01, 2005
1901 SPRINGLAKE DR, OKLAHOMA CITY, OK 73111(405) 521-8486(405) 521-8496 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mckinley Boatner Pa NPPES

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

MCKINLEY BOATNER PA (NPI 1508840695) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (578) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1508840695
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMCKINLEY BOATNERCredential: PA
Location Address1901 SPRINGLAKE DROklahoma City, OK 73111-5201
Mailing AddressPo Box 30589Midwest City, OK 73140-3589 · (405) 769-3301 · Fax (405) 769-9685
Fax(405) 521-8496
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateOctober 30, 2019
NPI 1508840695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 578
1901 SPRINGLAKE DR, Oklahoma City, OK 73111

Other Identifiers 4

Medicaid200013400AOK
Medicaid200013400COK
Other578OK · Pa License
Medicaid200013400BOK

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
1901 SPRINGLAKE DR
OKLAHOMA CITY, OK 73111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckinley Boatner's NPI number?

The NPI number for Mckinley Boatner is 1508840695. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Mckinley Boatner located?

Mckinley Boatner practices at 1901 Springlake Dr, Oklahoma City, OK 73111. The listed phone number is (405) 521-8486.

What is Mckinley Boatner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mckinley Boatner was last updated on October 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.