Individual
DR. KARYN ELAINE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2931 HARNEY PATH, FORT SAM HOUSTON, TX 78234-7674
(210) 808-1109
Mailing address
359 MEDICAL GROUP, 221 THIRD STREET WEST, JBSA-RANDOLPH, TX 78150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19989
MA
122300000X
Dentist
Primary
DS030864L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030864
US AIR FORCE
PA
Enumeration date
09/03/2006
Last updated
11/08/2018
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