Clarke A. Mckinney
NPI #1003814161 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1003814161
- Entity Type
- Organization
- Organization Name
- Clarke A. Mckinney
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4711 CLARK AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3268
- Phone
- (651) 429-6323
Authorized Official
- Name
- MR. CLARKE A MCKINNEY
- Title
- OWNER
- Phone
- (651) 429-6323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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