Individual
KATHLEEN GLADYS MCKINNEY
Active
Individual
KATHLEEN GLADYS MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LSW, CSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW-243
CO
1041C0700X
Clinical Social Worker
Primary
CSW-9923084
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14146383
ANTHEM/BLUE CROSS
CO
Enumeration date
10/23/2012
Last updated
02/09/2017
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