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Individual

MR. KEVIN EDWARD MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
51 PENNSYLVANIA AVE, HUNTINGDON, PA 16652-1204
(814) 501-7090
(814) 643-3417
Mailing address
51 PENNSYLVANIA AVE, HUNTINGDON, PA 16652-1204
(814) 501-7090
(814) 643-3417

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP020164
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP020164
PA SBON
PA
Enumeration date
03/22/2019
Last updated
05/22/2024
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