Russell Lynn Mckinley DPM

NPI 1063410231 - Podiatrist - 213ES0103X

NPI Details
NPI 1063410231
Gender Male
Enumeration Date 07/12/2005
Last Updated 07/21/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
708 WESTPORT RD
SUITE 102
ELIZABETHTOWN KY, 42701-3819, US
Phone (270) 769-1303
Fax (270) 769-1310
Business Location
P.O. BOX 6188
ELIZABETHTOWN KY, 42702-6188, US
Phone (270) 769-1303
Fax (270) 769-1310
Toxanomy
Taxonomy Code 213ES0103X
License State Kentucky
License Number 280
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According to our database, Dr. Russell Lynn Mckinley DPM NPI is 1063410231, taxonomy code is 213ES0103X and license number is 280, license state is located at Kentucky. Russell Lynn Mckinley DPM physically located at 708 Westport Rd, Elizabethtown KY, 42701-3819. NPI Number Russell Lynn Mckinley DPM has the Individual type.

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1063410231 NPI number is provided on an as is basis without warranty of any kind. 1063410231 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Lynn Mckinley DPM are for informational purposes only.