Individual
THOMAS MCKINNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7017 SAND CHERRY WAY, CLINTON, MD 20735-4265
(901) 601-2444
Mailing address
7017 SAND CHERRY WAY, CLINTON, MD 20735-4265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1004275
DC
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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