Individual
MR. STEFAN JORDAN MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 MOIX BLVD APT 411, CONWAY, AR 72034-6899
(501) 428-7944
Mailing address
2201 MOIX BLVD APT 411, CONWAY, AR 72034-6899
(501) 428-7944
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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