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Contact Information

DALE T MCKINNEY, PA-C
1025 S 6TH ST
SPRINGFIELD, IL62703
 Phone: 217-528-7541
 Fax: 217-210-9662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DALE T MCKINNEY · (Male)

NPI Number 1952496564
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/03/2006
Last updated 05/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-002547
Hospital affiliation(s)
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
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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