Individual
MR. JIM EDWARD MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
102 S MAIN ST, SAND SPRINGS, OK 74063-6509
(918) 245-2286
(918) 241-4366
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 499-4855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
970
OK
Other
Enumeration date
12/16/2005
Last updated
04/23/2025
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