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Mr. Stefan Jordan Mckinney
Student in an Organized Health Care Education/Training Program in Conway, Arkansas
NPI 1093270746

Stefan Jordan Mckinney is a Student in an Organized Health Care Education/Training Program based in Conway, AR. Stefan Jordan Mckinney practices in Conway, AR. The NPI Number for Stefan Jordan Mckinney is 1093270746 and holds a License No. (Arkansas).

The current practice location address for Stefan Jordan Mckinney is 2201 Moix Blvd Apt 411, Conway, AR and can be reached out via phone at 501-428-7944.

Location: 2201 Moix Blvd Apt 411, Conway, AR, 72034-6899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093270746
Provider Name
Stefan Jordan Mckinney
Credential
Provider Entity Type
Individual
Gender
Male
Address
2201 Moix Blvd Apt 411, Conway, AR, 72034-6899
Phone Number
501-428-7944
Fax Number
Provider Enumeration Date
02/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 Moix Blvd Apt 411
City
Conway
State
Arkansas
Zip
72034-6899
Phone Number
501-428-7944
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Moix Blvd Apt 411
City
Conway
State
Arkansas
Zip
72034-6899
Phone Number
501-428-7944
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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