OrganizationActive
Mckinley Sports Medicine, LLC
NPI 1407304017 · Sports Medicine (Family Medicine) Physician · Fairbanks, AK
Provider details
- NPI number
- 1407304017
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jennifer Malcolm, President
- License
- 10040231 (AK)
Practice location
3745 Geist Rd
Fairbanks, AK 99709-3554
Phone: (907) 456-3341
Fax: (907) 456-3443
Mailing address
3745 Geist Rd
Fairbanks, AK 99709-3554
Registry dates
- Enumerated
- 2016-09-13
- Last updated
- 2016-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.