Doctor Name: | CARRIE L MCKINNEY |
NPI Number: | 1790983823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 812 N Logan Ave Logan Campus Danville, IL - 618323752 |
Business Phone Number: | 2154934025 |
Business Fax Number: | 2154938039 |
Mailing Address: | 3318 S Crooks Bridge Rd, ROCKVILLE |
State: | IN |
Postal Code: | 478727072 |
Phone Number: | 7655622997 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |