Individual
COLLEEN J MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
540 S TRIMBLE RD, MANSFIELD, OH 44906-3418
(419) 522-5454
(419) 522-2981
Mailing address
120 STURGES AVE STE 1, MANSFIELD, OH 44903-2399
(419) 522-5454
(419) 522-2981
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35177063M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2230446
—
OH
Enumeration date
01/26/2007
Last updated
03/06/2020
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