Individual
HELEN A MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 W PROSPECT RD, ASHTABULA, OH 44004-6440
(330) 689-8306
Mailing address
2124 W PROSPECT RD, ASHTABULA, OH 44004-6440
(330) 689-8306
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RR269625
DRIVER LICENSE
OH
Enumeration date
08/22/2018
Last updated
08/22/2018
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