Individual
THOMAS JAMES MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PARKWAY, EMERGENCY DEPARTMENT, RICHMOND, IN 47374-1157
(765) 983-3144
(765) 983-3038
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-0390
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01052696
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176016
ANTHEM
—
05
—
200311510
—
IN
Enumeration date
09/20/2006
Last updated
04/03/2017
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