DR. JUSTIN LEIGH MCKINNEY DO NPI 1124339858

NPI Information

NPI: 1124339858
Provider Name: DR. JUSTIN LEIGH MCKINNEY, DO
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
210 BROOKS ST STE 200
CHARLESTON, WV
ZIP 25301
Phone: (304) 388-1930
Get Directions

DR. Justin Leigh Mckinney, DO is a plastic and reconstructive surgery surgery in Charleston, WV with 14 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Justin Leigh Mckinney, DO NPI is 1124339858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2010

The provider's business location address is:

210 BROOKS ST STE 200
CHARLESTON, WV
ZIP 25301
Phone: (304) 388-1930
Fax: (304) 388-1929

The NPI 1124339858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2010 and was last updated on 8/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		25454	MISSISSIPPI	No
2	208200000X	Plastic Surgery		3424	WEST VIRGINIA	No
3	2082S0105X	Plastic Surgery	Surgery of the Hand	3424	WEST VIRGINIA	No
4	2086S0105X	Surgery	Surgery of the Hand	25454	MISSISSIPPI	No
5	2086S0122X	Surgery	Plastic and Reconstructive Surgery	25454	MISSISSIPPI	No
6	2086S0122X	Surgery	Plastic and Reconstructive Surgery	3424	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06509284	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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