Individual
ROBERT MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-4240
(515) 247-4239
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 247-4240
(515) 247-4239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3312
IA
207R00000X
Internal Medicine Physician
DO-03312
IA
208100000X
Physical Medicine & Rehabilitation Physician
DO-03312
IA
208M00000X
Hospitalist Physician
Primary
DO-03312
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212324
—
IA
05
—
1720191760
—
IA
01
—
P00735081
RR MEDICARE
IA
Enumeration date
08/16/2006
Last updated
12/11/2018
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