Individual
JAMES MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28430 HOOVER RD APT 1, WARREN, MI 48093-5413
(313) 587-1416
Mailing address
20564 RYAN RD, DETROIT, MI 48234-1955
(313) 397-5441
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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