Provider Demographics
NPI:1235124330
Name:MCKINNEY, RICK G (DO)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:G
Last Name:MCKINNEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E ROBINSON ST
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6697
Mailing Address - Country:US
Mailing Address - Phone:405-447-8808
Mailing Address - Fax:405-447-2505
Practice Address - Street 1:500 E ROBINSON ST
Practice Address - Street 2:SUITE 2100
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6697
Practice Address - Country:US
Practice Address - Phone:405-447-8808
Practice Address - Fax:405-447-2505
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2007-10-29
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-04-21
Provider Licenses
StateLicense IDTaxonomies
OK2590207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKO0405OtherEMDEON
OKO0405OtherEMDEON