Individual
GABRIEL MICAH MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2001 STONEBROOK PL, KINGSPORT, TN 37660-4000
(423) 224-1300
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3721
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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