Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | ||
N | 363L00000X | Nurse Practitioner | 75095 | WV |
NPI | 1063170215 |
---|---|
Provider Name | Leslie Morgan Mckinney |
First Address | Elkins, WV 26241-3181 |
Second Address | Elkins, WV 26241-3181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2021 |
Last Update Date | 06/12/2021 |