Provider Demographics
NPI:1922886613
Name:MCKINNEY, OLIVIA REECE
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:REECE
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:PARKESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19365-0162
Mailing Address - Country:US
Mailing Address - Phone:484-262-9484
Mailing Address - Fax:
Practice Address - Street 1:53 HURLEY RD
Practice Address - Street 2:
Practice Address - City:PARKESBURG
Practice Address - State:PA
Practice Address - Zip Code:19365-1608
Practice Address - Country:US
Practice Address - Phone:484-212-6949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management