| Doctor Name: | MRS. MARY JANE MCKENNA |
| NPI Number: | 1033235049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F360051-1 |
| Business Practice Address: | 319 Central Ave Dunkirk, NY - 140482137 |
| Business Phone Number: | 7163633660 |
| Business Fax Number: | |
| Mailing Address: | 91 Howard St, FREDONIA |
| State: | NY |
| Postal Code: | 140632101 |
| Phone Number: | 7166725323 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | F360051-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |