| Doctor Name: | MRS. CARLYN ILENE MCKINNEY |
| NPI Number: | 1104019470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT CWS |
| License Number: | 03702 |
| Business Practice Address: | 6818a Highway 84 Ferriday, LA - 713345101 |
| Business Phone Number: | 3187577575 |
| Business Fax Number: | |
| Mailing Address: | 111 Cherrybark Ln, NATCHEZ |
| State: | MS |
| Postal Code: | 391209377 |
| Phone Number: | 6014429494 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2007 |
| NPI Last Update Date: | 08/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282E00000X |
| License Number: | 03702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Long Term Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |