Individual provider · Type 1 NPI

Mark McKinney, PA-S

Student in an Organized Health Care Education/Training Program · Madison, WI

NPI number 1437784139 Active

Practice location

750 Highland Ave # HSLC1270
Madison, WI 53705-2221

Mailing address

605 Park St
Antigo, WI 54409-2743

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437784139

Mark McKinney, PA-S's National Provider Identifier is 1437784139, issued on Mar 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Jul 7, 2020.