William Dent McKinney Jr., MD
Individual provider Active NPI Family Medicine Physician · Belleview, MO
NPI 1043371222 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043371222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35836 (MO)
- Practice address
- 1 Mack Lane
Belleview, MO 63623 - Phone
- (573) 697-5818
- Fax
- (573) 697-5820
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35836 | MO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35836 | MO | Yes |
Addresses
Primary practice location
1 Mack Lane
Belleview, MO 63623
Mailing address
HC 63 Box 1094
Belleview, MO 63623
Phone (573) 697-5818
Other providers in Belleview, MO
- Belleview Valley Skilled Nursing Care, LLC
- Deaconess Long Term Care of Missouri, Inc
- Jad Home Care Group LLC
- Jad Home Care Services LLC
- Jad Home Care Services LLC
- Linda D Ricketts
All providers in Belleview, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.