Individual
MICHAEL EUGENE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
349 BOGLE STREET, SUITE A, LAKE CUMBERLAND CARDIOLOGY ASSOCIATES, SOMERSET, KY 42503
(606) 678-0599
Mailing address
UK DIV OF CARDIOLOGY, 900 S. LIMESTONE, CTW320, LEXINGTON, KY 40536-0200
(859) 323-3976
(859) 257-6060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25453
KY
207RC0000X
Cardiovascular Disease Physician
Primary
25453
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051121717
BCBS
AL
01
—
051121718
BCBS
AL
01
—
051121719
BCBS
AL
01
—
051121720
BCBS
AL
05
—
06352291
—
MS
05
—
132369
—
AL
05
—
132371
—
AL
05
—
132372
—
AL
05
—
132373
—
AL
01
—
D32848
VIVA
AL
Enumeration date
10/18/2005
Last updated
01/06/2015
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