Provider Demographics
NPI:1710194188
Name:MCKINNEY, CHRISTOPHER ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALEXANDER
Last Name:MCKINNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:ALEXANDER
Other - Last Name:MCKINNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1663 COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1435
Mailing Address - Country:US
Mailing Address - Phone:323-254-2748
Mailing Address - Fax:323-254-2225
Practice Address - Street 1:1663 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1435
Practice Address - Country:US
Practice Address - Phone:323-254-2748
Practice Address - Fax:323-254-2225
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24906111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation