Individual
MARK MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
1520 S MAIN ST STE 3, DAYTON, OH 45409-2643
(937) 208-7266
(937) 208-7242
Mailing address
1518 HURST DR, DAYTON, OH 45414-1574
(937) 405-8450
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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