RICKANESHA MCKINNEY HAIR LOSS SP
NPI 1639769532
Durable Medical Equipment & Medical Supplies - Customized Equipment in Mount Olive, NC

Active since January 25, 2021
1020 S BREAZEALE AVE, MOUNT OLIVE, NC 28365(919) 920-3923 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About RICKANESHA MCKINNEY

This page provides the complete NPI Profile along with additional information for Rickanesha Mckinney, a provider established in Mount Olive, North Carolina with a medical specialization in Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1639769532 assigned on January 2021. The practitioner's primary taxonomy code is 332BC3200X with license number C58596 (NC). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1639769532 Verify this NPI
Provider Name
RICKANESHA MCKINNEY HAIR LOSS SP
Gender
Female
Entity Type
Individual
Location Address
1020 S BREAZEALE AVE MOUNT OLIVE, NC 28365
Location Phone
(919) 920-3923
Mailing Address
103 MENCY PL MOUNT OLIVE, NC 28365
Mailing Phone
(919) 920-3923
Is Sole Proprietor?
Yes
Enumeration Date
01-25-2021
Last Update Date
01-25-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers
License No.
C58596
License State
NC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639769532, enumerated as an "individual" on January 25, 2021.

The provider is located at 1020 S BREAZEALE AVE MOUNT OLIVE, NC 28365 and the phone number is (919) 920-3923.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.