Mckinley, Marc R

Mckinley, Marc R is an individual health care provider with primary practice located at 504 N Macarthur Ave , Panama City FL 32401-3636. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mckinley, Marc R can be contacted via phone (850) 769-2158.

Contact Information

Primary practice address
504 N Macarthur Ave Panama City FL 32401-3636
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58.002415 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34009847 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS14763 Florida

Profile Details

NPI number 1225212285
LBN Legal business name Mckinley, Marc R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Apr 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225212285 NPPES
Ohio MEDICAID 66174

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