Individual
MRS. ANGELA K. MCKINNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
228 TYLER SUITE 200, WEST MEMPHIS, AR 72301-4257
(870) 735-1973
(870) 735-2204
Mailing address
228 TYLER SUITE 200, WEST MEMPHIS, AR 72301-4257
(870) 735-1973
(870) 735-2204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO1299
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140999758
—
AR
01
—
1912974817
BC/BS
AR
Enumeration date
03/01/2006
Last updated
03/26/2014
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