Individual
MR. CAROL MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, NP-C
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0033379
OH
363LF0000X
Family Nurse Practitioner
1191574
TX
363LF0000X
Family Nurse Practitioner
3-001637
AL
363LF0000X
Family Nurse Practitioner
36525
TN
363LF0000X
Family Nurse Practitioner
Primary
ARNP9278438
FL
Other
Enumeration date
02/22/2014
Last updated
05/12/2025
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