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Individual

ELYSSA MARIE MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
640 WRIGHT AVE, BOWLING GREEN, KY 42103-1623
(859) 605-6480
Mailing address
640 WRIGHT AVE, BOWLING GREEN, KY 42103-1623
(859) 605-6480

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
9543
KY
208D00000X
General Practice Physician
Primary
03223
KY

Other

Enumeration date
05/28/2008
Last updated
01/29/2016
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