Individual
ANGELA G MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
904 HARRISON ST, PRINCETON, WV 24740-3011
(304) 431-7100
(304) 431-7112
Mailing address
PO BOX 507, RR 103 SUPPLY STREET, GARY, WV 24836-0507
(304) 448-2101
(304) 448-3217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
51212
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023868
—
WV
Enumeration date
07/17/2012
Last updated
01/09/2025
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