Individual provider · Type 1 NPI

Nicole Katherine Ann McKinnon, MD, PhD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1730455635 Active

Practice location

3959 Broadway
New York, NY 10032-1559

Mailing address

215 E 96th St Apt 4P
New York, NY 10128-3888

Specialties and licenses

TaxonomyCodeLicense
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 1730455635

Nicole Katherine Ann McKinnon, MD, PhD's National Provider Identifier is 1730455635, issued on Mar 26, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Mar 26, 2012.