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Individual

DR. GREGG S MCKINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
34 CONCORD ST, GLASTONBURY, CT 06033-2112
(860) 633-0611
(860) 657-8601
Mailing address
34 CONCORD ST, GLASTONBURY, CT 06033-2112
(860) 633-0611
(860) 657-8601

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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