MEDICARE: MCKINNON RHEUMATOLOGY ASSOCIATES PLLC

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	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1821854340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCKINNON RHEUMATOLOGY ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	7575 W WASHINGTON AVE # 127-160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 S CIMARRON RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7902
Country	:	US
Telephone Number	:	725-293-5101
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAYA MCKINNON
Credential	:	MD
Telephone Number	:	725-293-5101

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	04/22/2024

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