Individual
CHRISTOPHER MCKINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808
(225) 765-6565
Mailing address
4421 CLEARY AVE, METAIRIE, LA 70002-3109
(225) 765-2525
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2464019
—
LA
Enumeration date
03/19/2018
Last updated
07/25/2018
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