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Organization
MICHAEL K MCKINNEY DMD PSC
Active
Organization
MICHAEL K MCKINNEY DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KENT MCKINNEY JR. D.M.D. (OWNER)
(606) 377-0170
Entity
Organization
Contact information
Practice address
JCT RT 680 & HWY 122, MINNIE, KY 41651
(606) 377-0170
(606) 377-0179
Mailing address
PO BOX 60, MINNIE, KY 41651-0060
(606) 377-0170
(606) 377-0179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6873
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002698
—
KY
05
—
60068731
—
KY
05
—
61900163
—
KY
Enumeration date
04/24/2007
Last updated
07/23/2015
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