Individual
MR. KEVIN EDWARD MCKINNEY
Active
Individual
MR. KEVIN EDWARD MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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