Individual
JALEAH MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1300 E 86TH ST, INDIANAPOLIS, IN 46240-1910
(317) 218-3532
Mailing address
14852 MONDOUBLEAU LN, FLORISSANT, MO 63034-2357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004546A
IN
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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