Individual
DR. JUSTIN LEIGH MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 BROOKS ST STE 200, CHARLESTON, WV 25301
(304) 388-1930
(304) 388-1929
Mailing address
210 BROOKS ST STE 200, CHARLESTON, WV 25301-1848
(304) 388-1930
(304) 388-1929
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
25454
MS
208200000X
Plastic Surgery Physician
3424
WV
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
3424
WV
2086S0105X
Surgery of the Hand (Surgery) Physician
25454
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
25454
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
3424
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06509284
—
MS
Enumeration date
06/28/2010
Last updated
08/31/2023
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