Individual
DR. RALPH EDMOND MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10709 WAYZATA BLVD, # 202, MINNETONKA, MN 55305-5509
(952) 544-0433
Mailing address
5440 BALSAM LN N, PLYMOUTH, MN 55442-1805
(763) 559-6338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0948
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44M09MC
BLUECROSS-OUT OF NETWORK
MN
Enumeration date
02/21/2007
Last updated
07/09/2007
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