Provider Demographics
NPI:1316981566
Name:MCKINNEY, DANIEL C (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:MCKINNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 BUSINESS PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-7426
Mailing Address - Country:US
Mailing Address - Phone:417-339-7337
Mailing Address - Fax:417-339-7345
Practice Address - Street 1:115 BUSINESS PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-7426
Practice Address - Country:US
Practice Address - Phone:417-339-7337
Practice Address - Fax:417-339-7345
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR2C46208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
2400OtherCOX HEALTH SYSTEMS
MO201878667Medicaid
223879OtherHEALTHLINK
12952OtherBCBS
MOG36205Medicare UPIN