person
Mr. Dallen Mckinnis
Student in an Organized Health Care Education/Training Program in Danville, Virginia
NPI 1457739823

Dallen Mckinnis is a Student in an Organized Health Care Education/Training Program based in Danville, VA. Dallen Mckinnis practices in Danville, VA. The NPI Number for Dallen Mckinnis is 1457739823 and holds a License No. HCO-15408 (Virginia).

The current practice location address for Dallen Mckinnis is 2276 Franklin Tpke Ste 106, Danville, VA and can be reached out via phone at 434-548-8752 and via fax at 434-836-8713. You can also correspond with Dallen Mckinnis through the mailing address at 2276 FRANKLIN TPKE STE 106, DANVILLE, VA - 24540-5284 (mailing address contact number: 434-548-8752).

Location: 2276 Franklin Tpke Ste 106, Danville, VA, 24540-5284
person
Provider Profile Details
NPI Number
1457739823
Provider Name
Dallen Mckinnis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2276 Franklin Tpke Ste 106, Danville, VA, 24540-5284
Phone Number
434-548-8752
Fax Number
434-836-8713
Provider Enumeration Date
05/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HCO-15408 01 VA VIRGINIA STATE HEALTH DEPARTMENT
institution
Provider Business Practice Location Address Details
Address
2276 Franklin Tpke Ste 106
City
State
Zip
24540-5284
Phone Number
434-548-8752
Fax Number
434-836-8713
person
Provider Business Mailing Address Details
Address
2276 Franklin Tpke Ste 106
City
State
Zip
24540-5284
Phone Number
434-548-8752
Fax Number
434-836-8713
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
HCO-15408 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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