Mckinnon, Dorothy

Mckinnon, Dorothy is an individual health care provider with primary practice located at 107 S High St , Antlers OK 74523-3818. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mckinnon, Dorothy can be contacted via phone (580) 298-2830.

Contact Information

Primary practice address
107 S High St Antlers OK 74523-3818
Phone: (580) 298-2830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3036 Oklahoma

Profile Details

NPI number 1225258999
LBN Legal business name Mckinnon, Dorothy
Credentials MSW, LCSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Feb 27th, 2020 - about 6 years ago

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 1225258999 NPPES
Oklahoma MEDICAID 200366040A

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