NPI

McKinzie Nicole Lane

NPI 1518679869

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
OTA
Type
Individual
Enumeration date
2022-12-19
Last updated
2022-12-19

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Specialties

Licenses

License AR
OT-A1713

Location

Practice location
408 N Church St
City
Atkins AR
Postal code
72823-4149
Phone
(479) 495-0651

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Atkins, AR. 49 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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