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Individual
ELYSSA MARIE MCKINNEY
Active
Individual
ELYSSA MARIE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9543
KY
208D00000X
General Practice Physician
Primary
03223
KY
Other
Enumeration date
05/28/2008
Last updated
01/29/2016
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