Provider Demographics
NPI:1437234051
Name:MCKINLEY, AARON B (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:B
Last Name:MCKINLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 ROSS CLARK CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-4770
Mailing Address - Country:US
Mailing Address - Phone:334-479-0043
Mailing Address - Fax:
Practice Address - Street 1:1450 ROSS CLARK CIR STE 100
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-4770
Practice Address - Country:US
Practice Address - Phone:334-479-0043
Practice Address - Fax:334-479-0048
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18774207W00000X
AL28110207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051541126OtherBCBS
ALZ08297OtherVIVA
AL009942827Medicaid
AL051541126OtherBCBS