Individual
MR. CHRISTOPHER MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
275043
MA
367500000X
Certified Registered Nurse Anesthetist
491206-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
72161
WV
Other
Enumeration date
01/03/2007
Last updated
12/08/2020
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