Mckinness, Angela K.

Mckinness, Angela K. is an individual health care provider with primary practice located at 228 Tyler Suite 200 , West Memphis AR 72301-4257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mckinness, Angela K. can be contacted via phone (870) 735-1973.

Contact Information

Primary practice address
228 Tyler Suite 200 West Memphis AR 72301-4257
Phone: (870) 735-1973
Fax: (870) 735-2204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AO1299 Arkansas

Profile Details

NPI number 1912974817
LBN Legal business name Mckinness, Angela K.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Mar 26th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912974817 NPPES
Arkansas Other 1912974817 BC/BS
Arkansas MEDICAID 140999758 BC/BS

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