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NPI Code Detail

MEDICARE: RHODA GROTON MCKINNIS

MEDICARE: RHODA GROTON MCKINNIS
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
1163WH0200XHome Health Registered Nurse724629NY

General Provider Information

NPI Number : 1164952453
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHODA GROTON MCKINNIS
Provider Business Mailing Address
First Line : 738 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2164
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 738 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2164
Country : US
Telephone Number : 347-385-3962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 06/19/2017

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Directions to “ RHODA GROTON MCKINNIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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