Individual
MS. AMBER CHRISTINE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1630 23RD AVE, SUITE 701, LEWISTON, ID 83501-6350
(208) 743-4373
(208) 743-3369
Mailing address
1630 23RD AVE, SUITE 701, LEWISTON, ID 83501-6350
(208) 743-4373
(208) 743-3369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-703
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807900800
—
ID
05
—
8469348
—
WA
Enumeration date
10/03/2007
Last updated
02/17/2009
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