Individual
MS. MEREDITH L MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5590
Mailing address
7565 FARM VIEW CIR E, INDIANAPOLIS, IN 46256-1994
(317) 501-4154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001199A
IN
Other
Enumeration date
05/12/2007
Last updated
07/22/2013
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