Individual
PETER MCKINLEY PEER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(989) 992-2351
(573) 755-0276
Mailing address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(989) 992-2351
(573) 755-0276
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0527287
KS
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
0527287
KS
2085R0202X
Diagnostic Radiology Physician
Primary
0527827
KS
2085R0202X
Diagnostic Radiology Physician
5101014841
MI
2085U0001X
Diagnostic Ultrasound Physician
0527287
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669431748
—
MI
01
—
3150910275
BXBS MI
—
05
—
4754438
—
MI
Enumeration date
03/20/2006
Last updated
10/23/2025
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