Individual
CHANTA MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, RN
Contact information
Practice address
20 SOUTH 3RD ST, COLUMBUS, OH 43215
(216) 245-7663
Mailing address
PO BOX 417, TUSCUMBIA, AL 35674-0417
(216) 245-7663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0031943
OH
Other
Enumeration date
08/10/2022
Last updated
06/15/2023
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