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Individual

MRS. DANIELLE MCKINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3765 E. BLUE LUPINE DR. STE D, WASILLA, AK 99654
(907) 707-1671
(907) 707-1675
Mailing address
3765 E. BLUE LUPINE DR. STE D, WASILLA, AK 99654
(907) 707-1671
(907) 707-1675

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA058876
PA
363AM0700X
Medical Physician Assistant
Primary
OA004070
PA

Other

Enumeration date
02/21/2017
Last updated
09/11/2025
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