Individual
CHARLES TIMOTHY MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 W MAIN ST, MOUNT ORAB, OH 45154-8265
(937) 444-0952
(937) 444-0953
Mailing address
621 W MAIN ST, MOUNT ORAB, OH 45154-8265
(937) 444-0952
(937) 444-0953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.051398
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0646368
—
OH
Enumeration date
07/11/2006
Last updated
11/09/2017
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