Individual provider · Type 1 NPI

Debra K. McKinnon, DO

Emergency Medical Services (Emergency Medicine) Physician · Moscow, ID

NPI number 1407903669 Active

Practice location

700 S Main St
Moscow, ID 83843-3056

Fax (208) 883-6580

Mailing address

PO Box 9899
Moscow, ID 83843-1800

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XO-126 (ID)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1407903669

Debra K. McKinnon, DO's National Provider Identifier is 1407903669, issued on Jan 3, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Moscow, ID. The record was last updated on Jul 9, 2007.