Individual
MRS. CHALISSA MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
727 AFFINITY LN, ROCHESTER, NY 14616-1730
(585) 360-6500
Mailing address
727 AFFINITY LN, ROCHESTER, NY 14616-1730
(585) 360-6500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300822
NY
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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