Individual
GERALD LEROY MCKINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD069A
MEDICARE - GROUP PTAN
CA
05
—
PA17303
—
CA
Enumeration date
05/24/2006
Last updated
08/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us