Individual
LINDA DIANE MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28 BOZ LN, CADDO GAP, AR 71935-7611
(870) 356-2271
Mailing address
28 BOZ LN, CADDO GAP, AR 71935-7611
(870) 356-2271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27457
AK
163W00000X
Registered Nurse
R42903
AR
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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