Individual
MICHAEL MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4109 NAVAHO AVE, MEMPHIS, TN 38118-2165
(901) 318-7214
Mailing address
4109 NAVAHO AVE, MEMPHIS, TN 38118-2165
(901) 318-7214
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
247200000X
Other Technician
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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