Individual
DR. VIKKI M MCKINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 CENTERVILLE RD, POB SUITE 202, TALLAHASSEE, FL 32308-4647
(850) 877-7241
(850) 877-1338
Mailing address
1401 CENTERVILLE RD, POB SUITE 202, TALLAHASSEE, FL 32308-4647
(850) 877-7241
(850) 877-1338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME93847
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME93847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273341200
—
FL
01
—
ME93847
FLORIDA MEDICAL LICENSE
FL
Enumeration date
07/28/2005
Last updated
04/15/2022
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