Individual
AMY E MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1709 S 16TH ST STE A, WILMINGTON, NC 28401-6491
(910) 452-8633
(910) 452-8569
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005282
VA
363A00000X
Physician Assistant
Primary
PENDING
NC
Other
Enumeration date
03/18/2016
Last updated
11/05/2021
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