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Individual

LESLIE CHERYL MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
212 ASHVILLE AVE, SUITE 10, CARY, NC 27511
(919) 859-1136
(919) 859-4240
Mailing address
212 ASHVILLE AVE, SUITE 10, CARY, NC 27511
(919) 859-1136
(919) 859-4240

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0032206
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00-32206
LICENSE
01
011P3
BCBS GROUP
01
3131308
CIGNA PROVIDER AND GROUP
01
336395
MAMSI GROUP
01
4285030
AETNA INDIVIDUAL
01
562149430
UNITED GROUP
01
6655498
UNITED PROVIDER
01
67161
BCBS PROVIDER
01
7441170
AETNA GROUP
05
8057161
NC
05
89011P3
NC
01
96422
MEDCOST PROVIDER
Enumeration date
08/31/2006
Last updated
09/07/2012
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