Individual
MRS. CAROLYN DALE MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1248 KINNEYS LANE, PORTSMOUTH, OH 45662-2677
(740) 356-7290
(740) 353-7900
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8034
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.11077
OH
Other
Enumeration date
10/05/2009
Last updated
12/21/2020
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