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Contact Information

NATHAN MCKINNEY, DO
9451 WESTPORT RD STE 122C
LOUISVILLE, KY40241-2295
 Phone: 502-855-7325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NATHAN MCKINNEY · (Male)

NPI # 1639668965
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/02/2018
Last updated 02/09/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 02006869A
  • KY License # 05349
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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