Mckenna, Mallory Ann

Mckenna, Mallory Ann is an individual health care provider with primary practice located at 3488 Jeffco Blvd Ste 102 , Arnold MO 63010-6015. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mckenna, Mallory Ann can be contacted via phone (636) 464-5439.

Contact Information

Primary practice address
3488 Jeffco Blvd Ste 102 Arnold MO 63010-6015
Phone: (636) 464-5439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2020017363 Missouri

Profile Details

NPI number 1265058572
LBN Legal business name Mckenna, Mallory Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2020
Last updated Jun 23rd, 2020 - 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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