NPI 1407903669

Debra K McKinnon, DO

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

Practice location

Address: 700 S Main St, Moscow, ID 83843-3056
Phone: (208) 882-4511
Fax: (208) 883-6580
Mailing address: PO Box 9899, Moscow, ID 83843-1800

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence O-126 (ID)

Other Emergency Medicine providers in Idaho →

Registry record

NPI: 1407903669
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2007
Record last updated: 9 Jul 2007

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.