Individual
DR. JEFFERY W. MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
810 W COLUMBIA ST, OBERLIN, KS 67749
(785) 475-2208
(785) 475-2453
Mailing address
810 W COLUMBIA ST, OBERLIN, KS 67749-2450
(785) 475-2208
(785) 475-2453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0527824
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058664
BLUE CROSS BLUE SHIELD
KS
01
—
080161988
RR MEDICARE
—
05
—
100368290A
—
KS
01
—
666322
FIRST GUARD
—
Enumeration date
06/24/2005
Last updated
08/24/2018
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