| Mckinnon Medical Group, Pllc | |
|
2400 S Cimarron Rd Ste 120 Las Vegas NV 89117-7902 | |
| (702) 505-4230 | |
| Not Available |
| Full Name | Mckinnon Medical Group, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2400 S Cimarron Rd Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | Jonathan Mckinnon (MANAGER) |
| Authorized Official Contact | 7022563637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinnon Medical Group, Pllc 7575 W Washington Ave Ste 127-160 Las Vegas NV 89128-4333 Ph: (702) 505-4230 | Mckinnon Medical Group, Pllc 2400 S Cimarron Rd Ste 120 Las Vegas NV 89117-7902 Ph: (702) 505-4230 |
| NPI Number | 1841577541 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 0244407195 |
|---|---|
| Medicare Enrollment ID | O20120118000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841577541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jonathan H Mckinnon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730159385 PECOS PAC ID: 3779639737 Enrollment ID: I20120125000799 |
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