Individual
DR. JASON M MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2708 RIFE MEDICAL LN STE 200, ROGERS, AR 72758-1452
(479) 338-3080
(479) 338-3089
Mailing address
2708 RIFE MEDICAL LN STE 200, ROGERS, AR 72758-1452
(479) 338-3080
(479) 338-3089
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E-6952
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188532001
—
AR
Enumeration date
10/03/2006
Last updated
12/13/2011
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