Individual
JACOB RYAN MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4120 W MEMORIAL RD STE 205, OKLAHOMA CITY, OK 73120-9322
(405) 749-2992
(405) 936-5445
Mailing address
4120 W MEMORIAL RD STE 205, OKLAHOMA CITY, OK 73120-9322
(405) 749-2992
(405) 936-5445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5177
OK
Other
Enumeration date
08/23/2021
Last updated
02/26/2024
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