Provider Demographics
NPI:1447693098
Name:MCKINNEY, JAMES EDWIN III (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWIN
Last Name:MCKINNEY
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 CHURCH LN
Mailing Address - Street 2:
Mailing Address - City:JONESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17038-8155
Mailing Address - Country:US
Mailing Address - Phone:717-507-4469
Mailing Address - Fax:
Practice Address - Street 1:58 CHURCH LN
Practice Address - Street 2:
Practice Address - City:JONESTOWN
Practice Address - State:PA
Practice Address - Zip Code:17038-8155
Practice Address - Country:US
Practice Address - Phone:717-507-4469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-14
Last Update Date:2013-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC10725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor