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NPI Code Detail

MEDICARE: ALEXANDRIA MCKINNEY NP

MEDICARE: ALEXANDRIA MCKINNEY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0033220OH
2363LF0000XFamily Nurse Practitioner103509WV

General Provider Information

NPI Number : 1518665868
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA MCKINNEY NP
Provider Business Mailing Address
First Line : PO BOX 390
Second Line :
City : HUNTINGTON
State : WV
Zip : 25708-0390
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 425 JULIANA ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-5352
Country : US
Telephone Number : 740-439-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2023
Last Update Date : 06/04/2024

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