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Individual

KENNETH WALTER MCKINLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010
(202) 476-4177
Mailing address
337 WEBSTER ST NW, WASHINGTON, DC 20011-7328
(570) 594-5606

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57008
CT
208000000X
Pediatrics Physician
57008
CT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD046009
DC

Other

Enumeration date
05/04/2012
Last updated
09/14/2018
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