Individual
GABRIEL MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
14550 GRANDVILLE AVE, DETROIT, MI 48223-2231
(313) 415-6151
Mailing address
14550 GRANDVILLE AVE, DETROIT, MI 48223-2231
(313) 415-6151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114910
MI
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
—
—
405300000X
Prevention Professional
4703114910
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703114910
BCBS
MI
05
—
4703114910
—
MI
Enumeration date
06/11/2019
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us