Individual
FRANK EWING MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
161 JOSHUA TREE CT, FORNEY, TX 75126-0219
(209) 676-0917
Mailing address
161 JOSHUA TREE CT, FORNEY, TX 75126-0219
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338705
TEXAS LVN LICENSE
TX
Enumeration date
02/21/2018
Last updated
02/21/2018
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