Mckenna, James R

Mckenna, James R is an individual health care provider with primary practice located at 3101 Shippers Rd , Vestal NY 13850-2080. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mckenna, James R can be contacted via phone (607) 250-2180.

Contact Information

Primary practice address
3101 Shippers Rd Vestal NY 13850-2080
Phone: (607) 250-2180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004954 New York

Profile Details

NPI number 1578730008
LBN Legal business name Mckenna, James R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Jan 17th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578730008 NPPES
New York MEDICAID 03701062

Popular Providers