Individual
TODD O MCKINLEY
Active
Individual
TODD O MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01072035A
IN
207X00000X
Orthopaedic Surgery Physician
32992
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196949
—
IA
01
—
04528
WELLMARK BCBS
IA
05
—
200174490
—
IN
Enumeration date
09/12/2005
Last updated
01/15/2021
Update your record
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