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Individual

CHRISTOPHER MARK MCKINLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C

Contact information

Practice address
1003 OLDE WATERFORD WAY STE 1C, LELAND, NC 28451-4168
(910) 834-2240
Mailing address
13025 BENDING RIVER WAY, LELAND, NC 28451-0547
(310) 977-2176

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
0010-08986
NC
363A00000X
Physician Assistant
Primary
0010-08986
NC
363AM0700X
Medical Physician Assistant
50.002432RX
OH
363AS0400X
Surgical Physician Assistant
50002432
OH

Other

Enumeration date
04/07/2006
Last updated
03/20/2026
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