NPI 1093270746

Stefan Jordan McKinney

Practitioner Student in an Organized Health Care Education/Training Program Conway, AR

Practice location

Address: 2201 Moix Blvd APT 411, Conway, AR 72034-6899
Phone: (501) 428-7944

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Arkansas →

Registry record

NPI: 1093270746
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2019
Record last updated: 6 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.