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NPI Profile for SUSANNE S MCKINNEY in KINGSPORT, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gastroenterology |
163WG0100X |
| NPI Number | 1497756787 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/09/2005 | |
| Last updated | 10/01/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSANNE S MCKINNEY
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SUSANNE S MCKINNEY, NP