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1063104107
KELLY MCKINNIE
SACRAMENTO, CA
NPI
1063104107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA62775)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
KELLY MCKINNIE PA-C
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-2030
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Mailing Address
KELLY MCKINNIE PA-C
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number:
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