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Mckinley Sports Medicine, LLC

Sports Medicine (Family Medicine) Physician in Fairbanks, AK · enumerated 2016 · authorized official Jennifer Malcolm, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407304017

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Registry record

Entity type Organization (Type 2)
Legal business name Mckinley Sports Medicine, LLC
Practice address 3745 Geist Rd, Fairbanks, AK, 99709
Phone (907) 456-3341
Fax (907) 456-3443
Enumeration date Sep 13, 2016
Last updated in NPPES Sep 13, 2016

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 10040231 (AK) Primary

Authorized official

Name Jennifer Malcolm
Title President
Phone (907) 456-3341

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-13. Verify at npiregistry.cms.hhs.gov.
Where is Mckinley Sports Medicine, LLC located?
The practice location on file with NPPES is in Fairbanks, AK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-13.