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Organization

KNOX MEDICAL SPECIALISTS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS DEAN MCKINLEY M.D. (PHYSICIAN)
(740) 397-8500
Entity
Organization

Contact information

Practice address
1451 YAUGER RD, MOUNT VERNON, OH 43050
(740) 397-8500
(740) 397-8527
Mailing address
1451 YAUGER RD, MOUNT VERNON, OH 43050
(740) 397-8500
(740) 397-8527

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069886
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0306467
OH
05
0351828
OH
01
1639250830
INDIVIDUAL NPI
OH
01
1972684173
INDIVIDUAL NPI
OH
Enumeration date
04/16/2007
Last updated
10/02/2008
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