| Doctor Name: | DR. GISELE MCKINNEY |
| NPI Number: | 1932182557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 200379 |
| Business Practice Address: | 1890 W Gauthier Rd Suite 135 Lake Charles, LA - 706057179 |
| Business Phone Number: | 3374805510 |
| Business Fax Number: | |
| Mailing Address: | Po Box 122585, Dept 2585 DALLAS |
| State: | TX |
| Postal Code: | 753122585 |
| Phone Number: | 3374942919 |
| Fax Number: | 3374943069 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 02/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 200379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |