Individual
ROBERT A MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.C.C.P.
Contact information
Practice address
400 MATTHEW ST, SUITE 305, MARIETTA, OH 45750-1644
(740) 568-5662
(740) 568-5672
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
25MA05394400
NJ
207RP1001X
Pulmonary Disease Physician
Primary
35.120455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076874
—
OH
05
—
1752600
—
NJ
Enumeration date
08/19/2006
Last updated
07/14/2020
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