Provider Demographics
NPI:1194901488
Name:MCKINNIES, YOLONDA MARCHELLE (LPN)
Entity type:Individual
Prefix:MS
First Name:YOLONDA
Middle Name:MARCHELLE
Last Name:MCKINNIES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4123
Mailing Address - Country:US
Mailing Address - Phone:314-922-1172
Mailing Address - Fax:314-830-2328
Practice Address - Street 1:3815 WOODCREST DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-4123
Practice Address - Country:US
Practice Address - Phone:314-922-1172
Practice Address - Fax:314-830-2328
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007031849164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse