NPI 1003627282

Colleen McKinnis

Practitioner Student in an Organized Health Care Education/Training Program Modesto, CA

Practice location

Address: 2000 W Briggsmore Ave, Modesto, CA 95350-3839
Phone: (209) 526-1476

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003627282
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2025
Record last updated: 16 Jan 2025

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.