Jack Edward Mckinnon

NPI #1588471478 in Northport, Alabama

Provider Information

NPI Number: 1588471478
Entity Type: Individual
Name: Jack Edward Mckinnon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 13, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 3550 WATERMELON RD
City: Northport
State: Alabama
ZIP Code: 35473-5152
Phone: (256) 366-9094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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