Individual
GREG MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
26920 PIONEER HWY, STANWOOD, WA 98292-9548
(360) 629-1218
(366) 629-1242
Mailing address
26920 PIONEER HWY, STANWOOD, WA 98292-9548
(360) 629-1218
(366) 629-1242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60035217
WA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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