Individual
JACKIE LEE MCKINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2101 NW FERRIS AVE, LAWTON, OK 73507
(580) 357-1581
(580) 357-4123
Mailing address
2101 NW. FERRIS AVE, LAWTON, OK 73507
(580) 357-1581
(580) 357-4123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3118
OK
Other
Enumeration date
07/18/2006
Last updated
03/14/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us