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Individual

MISS MELANIE RENE MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNS-BC

Contact information

Practice address
1923S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7650
(918) 403-6341
Mailing address
1923S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2630
(918) 744-2946

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R0079630
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200193540A
OK
Enumeration date
02/29/2008
Last updated
03/08/2018
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