Mckenna, Jeffrey K

Mckenna, Jeffrey K is an individual health care provider with primary practice located at 100 Deerpath , Charleston IL 61920-9427. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Mckenna, Jeffrey K can be contacted via phone (217) 234-8000.

Contact Information

Primary practice address
100 Deerpath Charleston IL 61920-9427
Fax: (217) 234-8003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-118958 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036-118958 Illinois
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036.118958 Illinois

Profile Details

NPI number 1396713780
LBN Legal business name Mckenna, Jeffrey K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 5th, 2019 - about 5 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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