Individual
MATTHEW W MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 SPUCE ST, ESPANOLA, NM 87532-3456
(505) 753-7111
(505) 753-4438
Mailing address
5901 HARPER DR, ALBUQUERQUE, NM 87109-3587
(505) 823-8556
(505) 823-8555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
98-115
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
05/31/2006
Last updated
01/25/2012
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