# MICHAEL K MCKINNEY DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962621359
- **Authorized official:** DR. MICHAEL KENT MCKINNEY JR. D.M.D. (OWNER)
- **Authorized official phone:** (606) 377-0170

## Contact information

- **Practice address:** JCT RT 680 & HWY 122, MINNIE, KY 41651
- **Practice address phone:** (606) 377-0170
- **Practice address fax:** (606) 377-0179
- **Mailing address:** PO BOX 60, MINNIE, KY 41651-0060
- **Mailing address phone:** (606) 377-0170
- **Mailing address fax:** (606) 377-0179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6873 | KY | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 07/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60002698 | — | KY |
| 05 | — | 60068731 | — | KY |
| 05 | — | 61900163 | — | KY |