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NPI Code Detail

MEDICARE: MITCHELL A. MCKINNON

MEDICARE: MITCHELL A. MCKINNON
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
1207PP0204XPediatric Emergency Medicine (Emergency Medicine) Physician2024009604MO

General Provider Information

NPI Number : 1790226983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL A. MCKINNON
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line : PROVIDER ENROLLMENT DEPT
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-701-5200
Fax Number : 816-302-9939
Provider Business Practice Location Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3000
Fax Number : 816-302-9939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2017
Last Update Date : 01/08/2026

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Directions to “ MITCHELL A. MCKINNON ” Practice Location

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