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

Jack Edward McKinnon

Individual provider Athletic Trainer · NPI 1588471478

Jack Edward McKinnon is an Athletic Trainer in Northport, Alabama. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

3550 Watermelon Rd
Northport, AL 35473-5152
Phone: (256) 366-9094
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1588471478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address3550 Watermelon Rd Apt 36g, Northport, AL 35473-5154

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