Clarke A. Mckinney

NPI 1003814161 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1003814161
Enumeration Date 07/12/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name CLARKE A CLARKE
Position OWNER
Phone (651) 429-6323
Fax (651) 426-2046
Practice Location
4711 CLARK AVE
WHITE BEAR LAKE MN, 55110-3268, US
Phone (651) 429-6323
Fax (651) 426-2046
Business Location
4711 CLARK AVE
WHITE BEAR LAKE MN, 55110-3268, US
Phone (651) 429-6323
Fax (651) 426-2046
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
Remove 1003814161 NPI Number
 

According to our database, Clarke A. Mckinney NPI is 1003814161, taxonomy code is 332B00000X Clarke A. Mckinney physically located at 4711 Clark Ave, White Bear Lake MN, 55110-3268. NPI Number 1033115704 has the healthcare provider type.

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1003814161 NPI number is provided on an as is basis without warranty of any kind. 1003814161 is maintained by the National Plan & Provider Enumeration System. The contents of Clarke A. Mckinney are for informational purposes only.