Individual
DR. MARK DOUGLAS MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 OLD MAIN ST STE 500B, HARTFORD, KY 42347-1619
(270) 730-5344
Mailing address
1215 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 730-5344
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
46213
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2012003467
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201195300
—
IN
05
—
7100132770
—
KY
Enumeration date
05/18/2007
Last updated
03/19/2024
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