Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

McKinley Sports Medicine, LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1407304017

McKinley Sports Medicine, LLC is a Sports Medicine (Family Medicine) Physician in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2016.

Licensed in
AK
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3745 Geist Rd
Fairbanks, AK 99709-3554
Phone: (907) 456-3341
Fax: (907) 456-3443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 10040231 (AK)

Record details

NPI number1407304017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Malcolm — President · (907) 456-3341
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 13, 2016
Mailing address3745 Geist Rd, Fairbanks, AK 99709-3554