Kelly Lynn McKinney, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3955 Issued in AR

Practice address

2308 Highway 367 N Ste 300
Newport, AR 72112-2499

Phone

(870) 523-6575

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1629419213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 HIGHWAY 367 N STE 300",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721122499",
            "telephone_number": "870-523-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HIGHWAY 367 N STE 300",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721122499",
            "telephone_number": "870-523-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxus Inc
• Kim McCartney, RECOVERY ASSISTANT
• Brandy McComas, MHPP
• Gavin Trent McDowell, O.D.
• Amanda McGuire
• Anna Mears, PTA
• Barbara Diane Menley, DNP, APRN
• Michael W. Brown, DDS
• Monette Manor, LLC
• Kiara Moody

• Dentist in Newport, AR
• Providers in Newport, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.