| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JALEAH MCKINNEY | 1508686809 | 2024-10-12 |
Jaleah Mckinney is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508686809. Registration indicates Jaleah Mckinney is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Jaleah Mckinney OD |
| Practice Office Address | 1300 E 86TH ST INDIANAPOLIS, IN US |
| Practice Office Telephone | 3172183532 |
| Mailing Address | 14852 MONDOUBLEAU LN FLORISSANT, MO 630342357 US |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 18004546A
IN |