Individual
DR. LEAH JANE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2592
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
21311
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.086978
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
87-117
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A52104
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C-6860
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
K8795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10077340A
—
OK
Enumeration date
06/13/2006
Last updated
11/13/2014
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