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NPI Code Detail

MEDICARE: MS. BARBARA JEAN MCKINLEY RN

MEDICARE: MS. BARBARA JEAN MCKINLEY RN
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
1163WR0400XRehabilitation Registered NurseRN - 303261OH

General Provider Information

NPI Number : 1528289964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA JEAN MCKINLEY RN
Provider Business Mailing Address
First Line : 1881 HASTINGS AVE
Second Line :
City : E CLEVELAND
State : OH
Zip : 44112-2025
Country : US
Telephone Number : 216-761-6263
Fax Number :
Provider Business Practice Location Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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