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Contact Information

ELIZABETH MCKINNON
4035 W ALAMEDA RD
GLENDALE, AZ85310-3304
 Phone: 623-445-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for ELIZABETH MCKINNON · (Female)

NPI # 1033945225
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2024
Last updated 09/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 1166210
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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