| Doctor Name: | DWIGHT LAWRENCE MCKENNA |
| NPI Number: | 1316056419 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 03347R |
| Business Practice Address: | 1827 Gentilly Blvd New Orleans, LA - 701192051 |
| Business Phone Number: | 5049431923 |
| Business Fax Number: | 5049431933 |
| Mailing Address: | 4433 Tchoupitoulas St, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701151554 |
| Phone Number: | 5048991056 |
| Fax Number: | 5048991954 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 03347R |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |