Individual
JOHN LELAND MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN CNP
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416
(952) 993-6200
(952) 993-6685
Mailing address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
(952) 993-6685
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5202
MN
Other
Enumeration date
05/24/2017
Last updated
08/08/2018
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