Individual
DR. DEBRA K MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
(208) 883-6580
Mailing address
PO BOX 9899, MOSCOW, ID 83843-1800
(208) 875-1567
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
O-126
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003680
REGENCE BS ID
ID
05
—
8144412
—
WA
01
—
B1717
BLUE CROSS ID
ID
Enumeration date
01/03/2007
Last updated
07/09/2007
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