Individual
HAROLD A MCKINNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIRORAL HEALTH, 4TH FLOOR, NW BLDG, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIRORAL HEALTH, 4TH FLOOR, NW BLDG, DAYTON, OH 45417-3424
(937) 734-8333
(937) 276-8269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.518625
OH
167G00000X
Licensed Psychiatric Technician
PN128169MEDS
OH
Other
Enumeration date
08/18/2015
Last updated
07/12/2023
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