Individual
JOHN MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 MEDICAL DR, AMARILLO, TX 79106-4136
(806) 212-6604
(806) 212-0355
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F6934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120347306
—
TX
Enumeration date
11/25/2005
Last updated
10/04/2017
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