Provider Demographics
NPI:1073797379
Name:MCKINNEY, GABRIEL U (DC)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:U
Last Name:MCKINNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-2917
Mailing Address - Country:US
Mailing Address - Phone:304-722-2225
Mailing Address - Fax:304-722-7225
Practice Address - Street 1:700 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:WV
Practice Address - Zip Code:25177-2917
Practice Address - Country:US
Practice Address - Phone:304-722-2225
Practice Address - Fax:304-722-7225
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor