MEDICARE: JONATHAN H MCKINNON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	14137	NV
2	2084N0400X	Neurology Physician	36035	AZ
3	2084N0400X	Neurology Physician	14137	NV

General Provider Information

NPI Number	:	1730159385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN H MCKINNON M.D.

Provider Business Mailing Address
First Line	:	351 N BUFFALO DR
Second Line	:	SUITE B
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-0301
Country	:	US
Telephone Number	:	702-505-4230
Fax Number	:	702-505-4231

Provider Business Practice Location Address
First Line	:	7575 W WASHINGTON AVE
Second Line	:	SUITE 127-160
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4333
Country	:	US
Telephone Number	:	702-505-4230
Fax Number	:	702-505-4231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/06/2023

Similar Medicare Providers

1447224431 — EMMANUEL K ONWUTUEBE MD
Practice Location Address:

7575 W WASHINGTON AVE # 127-156
LAS VEGAS, NV
89128-4333

Practice Phone: 702-450-1717
Practice Fax:

1609925247 — LESLIE FARBER,MD A MEDICAL CORPORATION
Practice Location Address:

7575 W WASHINGTON AVE , SUITE 127
LAS VEGAS, NV
89128-4333

Practice Phone: 310-402-7484
Practice Fax:

1023313756 — DENA JOYE GUSTAFSON
Practice Location Address:

7575 W WASHINGTON AVE , 127-127
LAS VEGAS, NV
89128-4333

Practice Phone: 702-767-8124
Practice Fax:

1376849695 — MARTHA ELBA CAMERO GONZALEZ
Practice Location Address:

7575 W WASHINGTON AVE , # 127-145
LAS VEGAS, NV
89128-4333

Practice Phone: 702-403-0514
Practice Fax:

1578081253 — MICHELLE ANDERSON
Practice Location Address:

7575 W WASHINGTON AVE STE 127187
LAS VEGAS, NV
89128-4333

Practice Phone: 702-249-2449
Practice Fax:

1851819148 — THE VALLEY WELLNESS GROUP LLC
Practice Location Address:

7575 W WASHINGTON AVE STE 127187
LAS VEGAS, NV
89128-4333

Practice Phone: 702-202-2449
Practice Fax:

Directions to “ JONATHAN H MCKINNON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.