NPI 1285991612
Michael J. McKenna, MD, Professional Corporation
Practice location
- Address
- 6070 S Fort Apache Rd Suite 100, Las Vegas, NV 89148-5657
- Phone
- (702) 307-7700
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Michael J. McKenna
- Title
- Owner
- Phone
- (702) 307-7700
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1285991612
- Entity type
- Organization
- NPI issued
- 23 Apr 2012
- Record last updated
- 23 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.