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Individual

DR. JEFFREY SCOTT MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-1002
(214) 456-5518
(214) 456-2625
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-5518
(214) 456-2625

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2003008352
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2003008352
MO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2003008352
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208831206
MO
Enumeration date
07/14/2006
Last updated
11/09/2020
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