person
Anthony L Mckinnon
NPI 1528630092

Anthony L Mckinnon is a Driver based in South Chesterfield, VA. Anthony L Mckinnon practices in South Chesterfield, VA. The NPI Number for Anthony L Mckinnon is 1528630092 and holds a License No. (Virginia).

The current practice location address for Anthony L Mckinnon is 21410 Deodora Dr, South Chesterfield, VA and can be reached out via phone at 804-349-9103.

Location: 21410 Deodora Dr, South Chesterfield, VA, 23803-2278
person
Provider Profile Details
NPI Number
1528630092
Provider Name
Anthony L Mckinnon
Credential
Provider Entity Type
Individual
Gender
Male
Address
21410 Deodora Dr, South Chesterfield, VA, 23803-2278
Phone Number
804-349-9103
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EIN 01 VA TRANSPORTATION
institution
Provider Business Practice Location Address Details
Address
21410 Deodora Dr
City
State
Zip
23803-2278
Phone Number
804-349-9103
Fax Number
person
Provider Business Mailing Address Details
Address
21410 Deodora Dr
City
State
Zip
23803-2278
Phone Number
804-349-9103
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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