Individual
KIA MCKINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 HALIFAX CT, INDIANAPOLIS, IN 46231-1813
(317) 909-9842
Mailing address
1142 HALIFAX CT, INDIANAPOLIS, IN 46231-1813
(317) 909-9842
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
02/22/2022
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