Individual
COLLEEN MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W GLANN RD, APALACHIN, NY 13732-4026
(607) 724-2111
Mailing address
18 BROAD ST, JOHNSON CITY, NY 13790-2198
(607) 798-7117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
08/14/2020
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