Individual
MR. MIKE LEE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 894-2007
Mailing address
PO BOX 400, MIDWAY, WV 25878-0400
(304) 894-2007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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