Tina Faye McKinney

Individual provider Active NPI Case Manager/Care Coordinator · Corning, AR

NPI 1770087223 · NPPES record last updated Mar 20, 2018

Key facts

NPI
1770087223
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
602 David St
Corning, AR 72422-7268
Phone
(870) 857-3655
Fax
(870) 857-3667
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

602 David St
Corning, AR 72422-7268

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4961

Other providers in Corning, AR

All providers in Corning, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.