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Individual
ROBERT MCKINNEY
Active
Individual
ROBERT MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3312
IA
207R00000X
Internal Medicine Physician
DO-03312
IA
208100000X
Physical Medicine & Rehabilitation Physician
DO-03312
IA
208M00000X
Hospitalist Physician
Primary
DO-03312
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212324
—
IA
05
—
1720191760
—
IA
01
—
P00735081
RR MEDICARE
IA
Enumeration date
08/16/2006
Last updated
12/11/2018
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