Mckenna, Dena D

Mckenna, Dena D is an individual health care provider with primary practice located at 777 Hemlock St Msc10, Macon GA 31201-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Mckenna, Dena D can be contacted via phone (478) 633-1000.

Contact Information

Primary practice address
777 Hemlock St Msc10 Macon GA 31201-2102
Phone: (478) 633-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003508 Georgia

Profile Details

NPI number 1023071610
LBN Legal business name Mckenna, Dena D
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023071610 NPPES
Georgia MEDICAID 100001165C
Georgia Other 003508

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