MCKINLEY SPORTS MEDICINE, LLC
NPI 1407304017
Family Medicine - Sports Medicine in Fairbanks, AK

Q: What is Mckinley Sports Medicine, LLC's NPI number?

The NPI number for Mckinley Sports Medicine, LLC is 1407304017. It was assigned to this organization in the NPPES registry on September 13, 2016.

Q: What is Mckinley Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since September 13, 2016

3745 GEIST RD, FAIRBANKS, AK 99709(907) 456-3341(907) 456-3443 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mckinley Sports Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKINLEY SPORTS MEDICINE, LLC (NPI 1407304017) is a healthcare organization registered as a sports medicine in Fairbanks, Alaska and active in the NPI registry since September 2016. The organization lists Jennifer K Malcolm, President, as its authorized official.

NPPES Registry Identity

NPI1407304017

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameMCKINLEY SPORTS MEDICINE, LLC

Location Address3745 GEIST RDFairbanks, AK 99709-3554

Mailing Address3745 Geist RdFairbanks, AK 99709-3554 · (907) 456-3341 · Fax (907) 456-3443

Phone(907) 456-3341

Fax(907) 456-3443

Organization SubpartNo

Authorized OfficialJennifer K MalcolmPresident · (907) 456-3341

Enumeration DateSeptember 13, 2016

✔ NPI 1407304017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in AK · 10040231

Definition

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.

3745 GEIST RD, Fairbanks, AK 99709

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCKINLEY SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)