Individual
GREGORY H MCKINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 NW 9TH, SUITE 2100, OKLAHOMA CITY, OK 73102-1049
(405) 232-5555
(405) 270-0551
Mailing address
PO BOX 2118, OKLAHOMA CITY, OK 73101-2118
(405) 232-5555
(405) 270-0551
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19047
OK
207RP1001X
Pulmonary Disease Physician
Primary
19047
OK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
19047
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071850A
—
OK
Enumeration date
06/05/2006
Last updated
10/15/2012
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