Michael Ray Mc Kinney
Community Health Worker in Madera, CA. Individual provider (NPI-1).
NPI number1669940417
StatusActive
Last updated in NPPESNov 9, 2018
Details
- NPI
- 1669940417
- Entity type
- Individual (NPI-1)
- Name
- Michael Ray Mc Kinney
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2018
- Last updated
- Nov 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
209 E 7th StMadera, CA 93638-3780
Phone 559-673-3508 · Fax 559-661-2818
Mailing address
Po Box 1288Madera, CA 93639-1288
Phone 559-673-3508 · Fax 559-661-2818
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