Alyson McKinnon, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Little Rock, AR
NPI 1982390340 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1982390340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4301 W Markham St # 576
Little Rock, AR 72205-7101 - Phone
- (501) 686-6194
- NPI assigned
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230710003607 | AR | Order and Referring Only - Internal Medicine |
2062871924 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4301 W Markham St # 576
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 576
Little Rock, AR 72205-7101
Phone (501) 686-6194
Other providers in Little Rock, AR
- Standley McKinney Jr Jr.
- Bethany V. McKinney
- Daniele McKinney
- Shannon McKinney
- Wesley McKinney
- Skyler McKinnon
- Cherry McKinstry
- Heather Denise McKinzie
- Tashiera McKissick
- Shayla Ruth McKissock
All providers in Little Rock, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.