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Contact Information

HAROLD A MCKINNISS
601 S EDWIN C MOSES BLVD
SAMARITAN BEHAVIRORAL HEALTH, 4TH FLOOR, NW BLDG
DAYTON, OH45417-3424
 Phone: 937-734-8333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for HAROLD A MCKINNISS · (Male)

NPI # 1508232133
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2015
Last updated 07/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # PN128169MEDS
  • OH License # RN.518625
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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