Individual
MRS. SANDRA K MCKINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCCSLP
Contact information
Practice address
4325 LAUREL ST, SUITE 100, ANCHORAGE, AK 99508-5338
(907) 562-3994
(907) 562-3994
Mailing address
4325 LAUREL ST, SUITE 100, ANCHORAGE, AK 99508-5338
(907) 562-3994
(907) 562-3994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP0600
—
AK
Enumeration date
12/06/2006
Last updated
07/08/2007
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