Provider Demographics
NPI:1174063101
Name:MCKINNEY, KAREN KAY (LPN, LMT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:LPN, LMT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:KEYSER LOCKHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 S THIRD ST. #3
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550
Mailing Address - Country:US
Mailing Address - Phone:703-431-5688
Mailing Address - Fax:
Practice Address - Street 1:12 S THIRD ST. #3
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550
Practice Address - Country:US
Practice Address - Phone:703-431-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019004725225700000X
VA0002053780164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist