Individual
ROY MCKINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5229 HALIFAX RD, HALIFAX, VA 24558-3179
(434) 548-8752
Mailing address
124 GRANITE DR, DANVILLE, VA 24540-2883
(434) 548-8752
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HCO-151054
VA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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