Individual
JASON THOMAS MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8888
Mailing address
7557 UNION ST NE, ALBUQUERQUE, NM 87109-4948
(505) 463-5329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0072
NM
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2021
Last updated
06/18/2026
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