Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2001014655 | MO |
NPI | 1013022474 |
---|---|
Provider Name | Dr. Dana Rosaline Mckinney |
First Address | Kansas City, MO 64139-1236 |
Second Address | Kansas City, MO 64139-1236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2087342801 | (05) | KS |
H41584 | (02) | MO |