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Individual
DR. GREGG S MCKINNEY
Active
Individual
DR. GREGG S MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
050000251CT01
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030-000251
HEALTH SOURCE
CT
01
—
050000251CT01
BCBS
CT
01
—
0516797
US HEALTHCARE
CT
01
—
0982469
AETNA HEALTH PLANS
CT
01
—
1013086354
NPI
—
01
—
OV4669
LANDMARK
CT
Enumeration date
11/08/2006
Last updated
12/27/2013
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