Provider Demographics
NPI:1841081999
Name:MCKINNEY, HALIMAH MARIE ELIZABETH
Entity type:Individual
Prefix:MS
First Name:HALIMAH
Middle Name:MARIE ELIZABETH
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 1:6461 NEW MARKET WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6825
Mailing Address - Country:US
Mailing Address - Phone:252-499-5555
Mailing Address - Fax:
Practice Address - Street 1:6461 NEW MARKET WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6825
Practice Address - Country:US
Practice Address - Phone:252-499-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26743316172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver