Mckinley Sports Medicine, Llc, NPI 1407304017
Sports Medicine (Family Medicine) Physician in Fairbanks, AK, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1407304017
NPI Entity Type Organization
Provider Name Mckinley Sports Medicine, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3745 Geist Rd, Fairbanks, AK, US
Provider Mailing Address 3745 Geist Rd, Fairbanks, AK, US, 997093554
Is Sole Proprietor? No
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Organization Official

Official Name DO Jennifer K Malcolm
Official Position PRESIDENT
Phone 907-456-3341

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207QS0010X

Taxonomy Name Sports Medicine (Family Medicine) Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 10040231
License State AK
Description A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Business Address

Mckinley Sports Medicine, Llc
3745 Geist Rd

Fairbanks, AK, US

Phone: 907-456-3341
Fax: 907-456-3443

Mailing Address

Mckinley Sports Medicine, Llc
3745 Geist Rd
Fairbanks, AK, US
ZIP 997093554
Phone: 907-456-3341
Fax: 907-456-3443

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NPI Name Taxonomy Address

1992450910

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MS. Katelyn Tamara Holmberg

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DR. MD Amy Elizabeth Dressel

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Johanna Clemens

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Pang Juan Lim

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Day Training/Habilitation Specialist

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Anchorage, AK

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Michelle Kuehn

Individual

Day Training/Habilitation Specialist

1550 E 74th Ave

Anchorage, AK

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