Mckinnon, Kimberly
Mckinnon, Kimberly is an individual health care provider with primary practice located at 3450 Lacey Rd , Downers Grove IL 60515-5430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mckinnon, Kimberly can be contacted via phone (630) 743-4500.Contact Information
Primary practice address
3450 Lacey Rd
Downers Grove IL 60515-5430
Phone: (630) 743-4500
Fax: (630) 743-4537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036129662 | Illinois |
Profile Details
| NPI number | 1124257241 |
|---|---|
| LBN Legal business name | Mckinnon, Kimberly |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2009 |
| Last updated | Dec 16th, 2022 - about 4 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 | 1124257241 | NPPES |
| Illinois | MEDICAID | 036129662 |
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