Mckinney, Vicki A
Mckinney, Vicki A is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mckinney, Vicki A can be contacted via phone (801) 581-2121.Contact Information
Primary practice address
50 N Medical Dr
Salt Lake City UT 84132-0001
Phone: (801) 581-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 101984-1206 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 101984-1206 | Utah |
Profile Details
| NPI number | 1891746202 |
|---|---|
| LBN Legal business name | Mckinney, Vicki A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 30th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891746202 | NPPES |
| Idaho | MEDICAID | 806030900 | |
| Idaho | MEDICAID | 0437294 | |
| Idaho | Other | 51202 | |
| Idaho | Other | 970019921 | |
| Idaho | Other | QM0000037455 | |
| Idaho | Other | 369 |
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