| Christina Mckinley | |
|
71107 Highway 21 Covington LA 70433-7243 | |
| (985) 781-0548 | |
| (985) 781-4319 |
| Full Name | Christina Mckinley |
|---|---|
| Speciality | Family Medicine |
| Location | 71107 Highway 21, Covington, Louisiana |
| Authorized Official Name and Position | Christina M Mckinley (OWNER) |
| Authorized Official Contact | 5042325695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Mckinley 211 Churchill Downs Dr Bush LA 70431-4504 Ph: (504) 232-5695 | Christina Mckinley 71107 Highway 21 Covington LA 70433-7243 Ph: (985) 781-0548 |
| NPI Number | 1083376594 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Medicare PECOS PAC ID | 5294125704 |
|---|---|
| Medicare Enrollment ID | O20211123003058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083376594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Christina Mckinley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639332646 PECOS PAC ID: 1254509557 Enrollment ID: I20110712000233 |
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