Provider Demographics
NPI:1508660754
Name:MCKINNEY, BRIAUNDA
Entity type:Individual
Prefix:
First Name:BRIAUNDA
Middle Name:
Last Name:MCKINNEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 1/2 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1936
Mailing Address - Country:US
Mailing Address - Phone:740-350-9552
Mailing Address - Fax:
Practice Address - Street 1:525 1/2 8TH ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1936
Practice Address - Country:US
Practice Address - Phone:740-350-9552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant