Individual
MRS. SUSAN RUTH MCKINLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
6118 LYNDHURST AVE, NORFOLK, VA 23502-5311
(757) 466-7544
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001058809
VA
Other
Enumeration date
03/26/2006
Last updated
07/08/2007
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