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KYLE MCKENNA DO
NPI 1609627389
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since March 29, 2024PECOS Enrolled
4301 W MARKHAM ST # 589, LITTLE ROCK, AR 72205(501) 526-8148 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Mckenna Do NPPES

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

KYLE MCKENNA DO (NPI 1609627389) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609627389
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE MCKENNACredential: DO
Location Address4301 W MARKHAM ST # 589Little Rock, AR 72205-7101
Mailing Address19428 Devonwood CirFort Myers, FL 33967-4853
Phone(501) 526-8148
Sole ProprietorYes
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1609627389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 589, Little Rock, AR 72205
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Secondary Practice Locations 2

Location 11 Childrens Way # 512-41Little Rock, AR 72202-3500 · Phone (501) 364-1836
Location 21125 N College Ave # Slot100Fayetteville, AR 72703-1908 · Phone (479) 713-8310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Mckenna Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CHRYSTAL TARRYN FULLEN PSYD
Clinical Neuropsychologist
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8284
CAITLIN CAPERTON
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
KELSEY SPRINKLES
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8120
MARGARET SUSAN PICKHARDT MD
Psychiatry & Neurology (Psychiatry)
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
DR. VARENYA NALLUR MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
DR. TARAHN TURNER MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
JOHN WINN
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148
DR. NADIA KHAN MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 589
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Mckenna's NPI number?

The NPI number for Kyle Mckenna is 1609627389. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Kyle Mckenna located?

Kyle Mckenna practices at 4301 W Markham St # 589, Little Rock, AR 72205. The listed phone number is (501) 526-8148.

What is Kyle Mckenna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Mckenna enrolled in Medicare?

Yes. Kyle Mckenna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Mckenna was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.