Individual
MICHAEL L. MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PROVIDENCE WAY, NICHOLASVILLE, KY 40356-6031
(859) 260-5370
(859) 260-5379
Mailing address
5200 COMMERCE CROSSINGS DR, 3RD FLOOR, LOUISVILLE, KY 40229
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31773
KY
208000000X
Pediatrics Physician
Primary
31773
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64317738
—
KY
Enumeration date
07/17/2006
Last updated
12/11/2020
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