Provider Demographics
NPI:1457489353
Name:MCKINNEY, LINDA (MHPP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:DEWITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1521 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-2152
Mailing Address - Country:US
Mailing Address - Phone:870-633-8092
Mailing Address - Fax:870-633-8358
Practice Address - Street 1:1521 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-2152
Practice Address - Country:US
Practice Address - Phone:870-633-8092
Practice Address - Fax:870-633-8358
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator