Individual
NANCY E MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 GOOSE RUN RD, FAIRMONT, WV 26554-1351
(304) 367-8901
(304) 368-1518
Mailing address
PO BOX 991, FAIRMONT, WV 26555-0991
(304) 367-8901
(304) 368-1518
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01052528A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
16429
WV
207X00000X
Orthopaedic Surgery Physician
28557
WI
207X00000X
Orthopaedic Surgery Physician
43326
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097478000
—
WV
Enumeration date
06/05/2006
Last updated
08/05/2013
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