Individual
DR. ANGELIQUE N MCKINNEY-BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5400 CHAMBERS HILL RD, HARRISBURG, PA 17111-2545
(717) 564-5400
(717) 564-7859
Mailing address
5400 CHAMBERS HILL RD, HARRISBURG, PA 17111-2545
(717) 564-5400
(717) 564-7859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 418042
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1148101
HEALTH AMERICA
PA
01
—
1710213236
CD EAST FAMILY HEALTH & WLLNS. CTR. GROUP NPI
PA
01
—
177237
HIGHMARK MEDICARE
PA
01
—
2147159
HIGHMARK PPO
—
01
—
271003587
TRICARE
PA
01
—
50091367
CAPITAL BLUE CROSS
PA
01
—
7615520
AETNA
PA
Enumeration date
09/15/2006
Last updated
06/16/2022
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