Individual
JOANNA V. MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C-A.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9595
(601) 703-4349
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9940
(601) 703-4349
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3034
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308057
—
MS
05
—
009934356
—
AL
01
—
730-15788
BLUE CROSS OF ALABAMA
AL
Enumeration date
08/28/2006
Last updated
07/08/2007
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