Kenneth D Mckinney, CRNA | |
640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | |
(651) 254-3456 | |
(651) 254-3048 |
Full Name | Kenneth D Mckinney |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 640 Jackson Street, St Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992732804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R1439201 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mimbres Memorial Hospital | Deming, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
G And G Anesthesia Llc | 4981912607 | 70 |
Entity Name | G & G Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20191220000506 |
Mailing Address | Practice Location Address |
---|---|
Kenneth D Mckinney, CRNA 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Kenneth D Mckinney, CRNA 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 Ph: (651) 254-3456 |
Lee Rivard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Robert A Lamppa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Virginia M Glendenning, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert D West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Morli J Gamm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Joyce Jacobson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Matthew J Kuckler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |