Organization
DR. RICHARD MCKINLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MCKINLEY O.D. (PROVIDER)
(907) 459-8200
Entity
Organization
Contact information
Practice address
537 JOHANSEN EXPY, FAIRBANKS, AK 99701-3165
(907) 451-9938
(907) 451-9940
Mailing address
PO BOX 74649, FAIRBANKS, AK 99707-4649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPTD131
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD 2131
—
AK
Enumeration date
02/16/2017
Last updated
02/16/2017
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