Mckenna, Matthew D

Mckenna, Matthew D is an individual health care provider with primary practice located at 1825 E North Ave , Belton MO 64012-2128. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mckenna, Matthew D can be contacted via phone (816) 775-4747.

Contact Information

Primary practice address
1825 E North Ave Belton MO 64012-2128
Phone: (816) 775-4747
Fax: (833) 964-0159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1106463 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2023020721 Missouri

Profile Details

NPI number 1649898693
LBN Legal business name Mckenna, Matthew D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2020
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649898693 NPPES
Kansas Other 1106463 LICENSE

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