Individual
MR. ROBERT LAURENCE MCKINNEY II
Active
Individual
MR. ROBERT LAURENCE MCKINNEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA031463
DC
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032812855
—
DC
05
—
1699265454
—
VA
05
—
4246829-00
—
MD
Enumeration date
05/16/2018
Last updated
10/16/2020
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