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Christina McKinley

Family Medicine, Adult Medicine in Covington, LA. Organization (NPI-2).

NPI number1083376594
StatusActive
Last updated in NPPESOct 12, 2021

Details

NPI
1083376594
Entity type
Organization (NPI-2)
Legal business name
Christina McKinley
Organization subpart
No
Enumeration date
Oct 12, 2021
Certification date
Oct 12, 2021
Last updated
Oct 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine––Yes

Practice location

71107 Highway 21
Covington, LA 70433-7243

Phone 985-781-0548 · Fax 985-781-4319

Mailing address

211 Churchill Downs Dr
Bush, LA 70431-4504

Phone 504-232-5695 · Fax 985-781-0548

Authorized official

Christina M McKinley
Owner
5042325695

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