NPI 1003814161
Clarke A. McKinney
Practice location
- Address
- 4711 Clark Ave, White Bear Lake, MN 55110-3268
- Phone
- (651) 429-6323
- Fax
- (651) 426-2046
Authorised official
- Name
- Clarke a McKinney
- Title
- Owner
- Phone
- (651) 429-6323
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1003814161
- Entity type
- Organization
- NPI issued
- 12 Jul 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.