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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1124257241 NPPES
Illinois MEDICAID 036129662

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